| NPI | 1891419149 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Doing Business As | ELLIE MENTAL HEALTH PROVO UTAH |
| Entity Type | Organization |
| Authorized Contact | ERIC E WORKMAN Owner/CEO 808-782-7409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2023-04-27 |