| NPI | 1205564531 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN BEDFORD Director 616-951-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-08-14 |
| Last Update Date | 2026-05-18 |