| NPI | 1457066250 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Doing Business As | ELLIE MENTAL HEALTH PLLC |
| Entity Type | Organization |
| Authorized Contact | RENAE EADES FLOYD Clinic Director 910-264-9779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2023-01-24 |