Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
POLLY ELY, INC.
Active
Organization
POLLY ELY, INC.
Active
Other names
The LAB Method, Parent School
Organization subpart
No
Provider details
NPI number
Authorized official
POLLY STARK ELY MFT (PRESIDENT)
(415) 233-6866
Entity
Organization
Contact information
Practice address
145 ESPERANZA ST, TIBURON, CA 94920-1914
(415) 233-6866
Mailing address
PO BOX 685, TIBURON, CA 94920-0685
(415) 233-6866
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
04/13/2019
Last updated
01/23/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up