Ellie Mental Health - North Central Alabama LLC
NPI #1922793314 in Mountain Brk, Alabama
Provider Information
- NPI Number
- 1922793314
- Entity Type
- Organization
- Organization Name
- Ellie Mental Health - North Central Alabama LLC
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Apr 10, 2023
- Last Updated
- Apr 10, 2023
Practice Location
- Address
- 4420 CORINTH DR
- City
- Mountain Brk
- State
- Alabama
- ZIP Code
- 35213-1816
- Phone
- (205) 613-3429
Authorized Official
- Name
- DAVIS SLATE MANGE
- Title
- OWNER
- Phone
- (205) 613-3429
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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