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Organization
MM FAMILY CIRCLE INCORPORATED
Active
Organization
MM FAMILY CIRCLE INCORPORATED
Active
Other names
Ellie Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN G MANNELLA (PRESIDENT)
(614) 975-2520
Entity
Organization
Contact information
Practice address
581 BOSTON MILLS RD STE 400, HUDSON, OH 44236-1193
(614) 975-2520
Mailing address
3269 SUFFOLK DOWNS, STOW, OH 44224
(614) 975-2520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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