| NPI | 1225760309 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | PAMELA LATARSHA BUCHANAN Owner/President 636-866-2308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2022-06-28 |