| NPI | 1164160099 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | ALLYSON STUCKLESS Owner 817-915-4622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2024-08-22 |