| NPI | 1912629320 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH OF ST. PETERS |
| Entity Type | Organization |
| Authorized Contact | JANICE WADE Clinic Director 636-345-4744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 102L00000X Psychoanalyst | |
| 103G00000X Clinical Neuropsychologist | |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2024-04-04 |