| NPI | 1598445918 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH - BEACHWOOD |
| Entity Type | Organization |
| Authorized Contact | DEREK L STOVALL-LEONARD President 630-740-5521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 261QM0801X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-07-20 |