| NPI | 1245926427 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH ATHENS |
| Entity Type | Organization |
| Authorized Contact | REBECCA BLOOMFIELD KUBIN Owner 404-775-5755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |