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 Clinic/Center, Mental Health (Including Community Mental Health Center) | |
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 |