| NPI | 1508694605 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | BERTEL MCELRATH Owner 612-203-4285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |