| NPI | 1225743222 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | NICOLE FREDERICKSON Owner 773-957-4910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-01-16 |