| NPI | 1699409201 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | JOLENE JOY DES ROCHES Clinical Director 210-517-9024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2023-03-14 |