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Organization
OTTE PRACTICE PLLC
Active
Organization
OTTE PRACTICE PLLC
Active
Other names
Ellie Mental Health - Naperville
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOTTE G LASLEY (OWNER)
(312) 401-1428
Entity
Organization
Contact information
Practice address
1804 N NAPER BLVD STE 250, NAPERVILLE, IL 60563-8830
(708) 297-1723
Mailing address
1804 N NAPER BLVD STE 250, NAPERVILLE, IL 60563-8830
(708) 297-1723
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
10/18/2022
Last updated
09/15/2023
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