| NPI | 1275238644 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | KENNETH JOEL BARRETT Chief Operating Officer 678-938-9693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-04-04 |