| NPI | 1932834371 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | SCOTT SPAW Owner 936-635-5634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-07-20 |