| NPI | 1942081872 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH - LAKE WORTH FLORIDA |
| Entity Type | Organization |
| Authorized Contact | GREGG MELNICK Owner 917-855-2799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2023-10-14 |