# ADELIS HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ellie Mental Health MA-Medford-Boston Avenue
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225808785
- **Authorized official:** MR. ADITYA SRINIVAS (OWNER)
- **Authorized official phone:** (585) 309-2333

## Contact information

- **Practice address:** 200 BOSTON AVE STE 1925, MEDFORD, MA 02155-4243
- **Practice address phone:** (617) 533-0416
- **Mailing address:** 200 BOSTON AVE STE 1925, MEDFORD, MA 02155-4243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/05/2024
- **Last updated:** 01/05/2024