Ellie Fam LLC
NPI #1649917964 in Mendota Heights, Minnesota
Provider Information
- NPI Number
- 1649917964
- Entity Type
- Organization
- Organization Name
- Ellie Fam LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- May 18, 2022
- Last Updated
- Oct 24, 2022
Practice Location
- Address
- 1370 MENDOTA HEIGHTS RD
- City
- Mendota Heights
- State
- Minnesota
- ZIP Code
- 55120-1281
- Phone
- (651) 583-4447
Authorized Official
- Name
- EMMA MARTIN LAPLANT
- Title
- SR DR BUSINESS SYSTEMS & STRATEGY
- Phone
- (952) 334-2542
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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