| NPI | 1194506204 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | PATRICK MCENROE Owner 864-208-5352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2024-04-30 |