| NPI | 1942992029 |
|---|---|
| Doing Business As | ELLIE MENTAL HEALTH - NW FLORIDA |
| Entity Type | Organization |
| Authorized Contact | RONALD KENNEDY Owner 850-516-5592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2023-05-25 |