Ellie Mental Health
LBN: Ellie Main Line Llc
Ellie Mental Health is an health care organization with primary practice located at 1200 Atwater Dr Ste 130 , Malvern PA 19355-8782. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Ellie Main Line Llc can be contacted via phone (610) 646-1851, or through Dutka, Kristin via phone (910) 515-1340.
Contact Information
Primary practice address
1200 Atwater Dr Ste 130
Malvern PA 19355-8782
Phone: (610) 646-1851
Fax: (484) 355-5181
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
NPI number | 1528752037 |
---|---|
LBN Legal business name | Ellie Main Line Llc |
DBA Doing business as | Ellie Mental Health |
Authorized official | Dutka, Kristin |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 7th, 2023 |
Last updated | Apr 4th, 2024 - about 7 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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