| NPI | 1356184121 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JAMIE E OLOFSON President 407-928-1425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-06-18 |