| Ellie Mental Health | |
|
925 Woodstock Rd Roswell GA 30075-2206 | |
| (770) 365-8275 | |
| Not Available |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 925 Woodstock Rd, Roswell, Georgia |
| Authorized Official Name and Position | Michael Lauer (OWNER) |
| Authorized Official Contact | 7703658275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 2535 Wentwood Ct Cumming GA 30041-6522 Ph: (770) 365-8275 | Ellie Mental Health 925 Woodstock Rd Roswell GA 30075-2206 Ph: (770) 365-8275 |
| NPI Number | 1508590100 |
|---|---|
| Provider Enumeration Date | 07/11/2022 |
| Last Update Date | 10/21/2022 |
| Certification Date | 10/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508590100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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