| NPI | 1205546165 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH OF COLUMBIA |
| Entity Type | Organization |
| Authorized Contact | MARCUS WARR Owner/President 336-253-0960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2023-08-28 |