| NPI | 1386358596 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | COLLEEN ALICIA CHRISTIANSEN Clinic Director 414-975-1316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-12-05 |