| NPI | 1083325682 |
|---|---|
| Other Name | BE AUTHENTIC INDY, LLC DBA ELLIE MENTAL HEALTH |
| Former Legal Business Name | CRESTVILLE HILLS |
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | GAVIN ENGLAND Owner 646-241-6260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2025-07-25 |