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Organization
ELLIE FAM LLC
Active
Organization
ELLIE FAM LLC
Active
Other names
Ellie Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA MARTIN LAPLANT (SR DR BUSINESS SYSTEMS & STRATEGY)
(952) 334-2542
Entity
Organization
Contact information
Practice address
1370 MENDOTA HEIGHTS RD, MENDOTA HEIGHTS, MN 55120-1281
(651) 583-4447
Mailing address
1370 MENDOTA HEIGHTS RD, MENDOTA HEIGHTS, MN 55120-1281
(651) 583-4447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
10/24/2022
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