| NPI | 1760116966 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS MACHADO-FEUERMANN Owner Authorized Official 786-252-1665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2022-07-13 |