| NPI | 1265121024 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH ASHBURN |
| Entity Type | Organization |
| Authorized Contact | KESHIA EASTERLING Owner 706-329-8508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2023-07-12 |