| NPI | 1558070284 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH-CARROLLTON |
| Entity Type | Organization |
| Authorized Contact | TRACY TEIMOURIAN Owner 818-939-2159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |