| Ellie Mental Health | |
|
1000 Johnson Ferry Rd Ste E150 Marietta GA 30068-2176 | |
| (404) 769-7990 | |
| Not Available |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1000 Johnson Ferry Rd Ste E150, Marietta, Georgia |
| Authorized Official Name and Position | David Elgin (OWNER) |
| Authorized Official Contact | 4047697990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 1100 Mosspointe Dr Roswell GA 30075-4163 Ph: (404) 769-7990 | Ellie Mental Health 1000 Johnson Ferry Rd Ste E150 Marietta GA 30068-2176 Ph: (404) 769-7990 |
| NPI Number | 1053036277 |
|---|---|
| Provider Enumeration Date | 10/10/2022 |
| Last Update Date | 10/11/2022 |
| Certification Date | 10/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053036277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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