| Ellie Mental Health | |
|
13341 W Hwy 290 Ste 1-105 Austin TX 78737-9160 | |
| (210) 913-7791 | |
| Not Available |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 13341 W Hwy 290 Ste 1-105, Austin, Texas |
| Authorized Official Name and Position | Rosemary Elizalde (PRESIDENT/CEO) |
| Authorized Official Contact | 2109137791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 13341 W Hwy 290 Ste 1-105 Austin TX 78737-9160 Ph: (210) 913-7791 | Ellie Mental Health 13341 W Hwy 290 Ste 1-105 Austin TX 78737-9160 Ph: (210) 913-7791 |
| NPI Number | 1841077245 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 12/15/2023 |
| Certification Date | 10/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841077245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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