# J. KILBY ENTERPRISES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ellie Mental Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316652894
- **Authorized official:** JAMES GILBERT KILBY JR. (OWNER)
- **Authorized official phone:** (937) 689-6450

## Contact information

- **Practice address:** 955 CONGRESS PARK DR, CENTERVILLE, OH 45459-4009
- **Practice address phone:** (937) 320-1020
- **Mailing address:** 4273 BRISTOL DR, BEAVERCREEK, OH 45440-3382
- **Mailing address phone:** (937) 689-6450

## Taxonomy

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

## Other

- **Enumeration date:** 01/18/2023
- **Last updated:** 01/18/2023