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Organization
ELLIE PBC2 LLC
Active
Organization
ELLIE PBC2 LLC
Active
Other names
Ellie Mental Health - Palm Beach Gardens
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAARIS ALI (OWNER)
(630) 205-4664
Entity
Organization
Contact information
Practice address
8895 N MILITARY TRL STE 202B, WEST PALM BEACH, FL 33410-6284
(917) 855-2799
Mailing address
8895 N MILITARY TRL STE 202B, WEST PALM BEACH, FL 33410-6284
(561) 556-4544
(561) 828-9305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
08/06/2026
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