| NPI | 1750099222 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH SARASOTA AND MANATEE |
| Entity Type | Organization |
| Authorized Contact | GRAYSON VIDENKA Co Owner 941-914-0230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |