NPI | 1376269738 |
---|---|
Doing Business As | ELLIE MENTAL HEALTH |
Entity Type | Organization |
Authorized Contact | MARY MARGARET WAYMIRE Owner 404-791-0832 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
103TA0400X Psychologist Addiction (Substance Use Disorder) | |
103TA0700X Psychologist Adult Development & Aging | |
103TF0000X Psychologist Family | |
103TP2701X Psychologist Group Psychotherapy | |
106H00000X Marriage & Family Therapist | |
172V00000X Community Health Worker | |
Enumeration Date | 2022-10-18 |
Last Update Date | 2024-02-19 |