| NPI | 1154051167 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | STEVE M LEBLANC COO 801-726-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-07-27 |