| NPI | 1942081872 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH - LAKE WORTH FLORIDA |
| Entity Type | Organization |
| Authorized Contact | HAARIS ALI Owner 630-205-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2026-08-06 |