| Ellie Mental Health - North Central Alabama Llc | |
|
4420 Corinth Dr Mountain Brk AL 35213-1816 | |
| (205) 613-3429 | |
| Not Available |
| Full Name | Ellie Mental Health - North Central Alabama Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4420 Corinth Dr, Mountain Brk, Alabama |
| Authorized Official Name and Position | Davis Slate Mange (OWNER) |
| Authorized Official Contact | 2056133429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health - North Central Alabama Llc 4420 Corinth Dr Mountain Brk AL 35213-1816 Ph: (205) 613-3429 | Ellie Mental Health - North Central Alabama Llc 4420 Corinth Dr Mountain Brk AL 35213-1816 Ph: (205) 613-3429 |
| NPI Number | 1922793314 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 04/10/2023 |
| Certification Date | 04/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922793314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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