| NPI | 1649908260 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | ALICIA GARNER Owner 309-512-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-08-12 |