| NPI | 1912630112 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | HAARIS ALI Owner 630-205-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 207QA0505X Family Medicine, Adult Medicine | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 207Q00000X Family Medicine | |
| 261QM0801X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2023-10-19 |