| NPI | 1134844780 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | LUCAS GLEN RICHARDSON President 303-653-1336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2022-10-06 |