# ELEMENTAL FAMILY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ellie Mental Health - Houston Clear Lake, Ellie Mental Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053038273
- **Authorized official:** COREY KAUFFMAN (CEO)
- **Authorized official phone:** (346) 857-5319

## Contact information

- **Practice address:** 2200 SPACE PARK DR STE 240, HOUSTON, TX 77058-3677
- **Practice address phone:** (346) 857-5319
- **Mailing address:** 621 POWER ST, LEAGUE CITY, TX 77573-5539
- **Mailing address phone:** (346) 857-5319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/27/2022
- **Last updated:** 07/18/2023
