| NPI | 1942914445 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | LEWIS COPELAND Clinical Director 469-833-2247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2024-07-30 |