| NPI | 1255035291 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH OF WACO |
| Entity Type | Organization |
| Authorized Contact | MICHAEL IKEYA Owner 512-484-6661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-03-27 |