| NPI | 1144910845 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | CHARLA BROOKS Owner 706-910-2570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-05-08 |