| NPI | 1487372132 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JENIFFER K ESCLOVON Owner 409-626-1329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2024-09-13 |