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Organization
MIKE D MANAGEMENT
Active
Organization
MIKE D MANAGEMENT
Active
Other names
Ellie Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ANDRE DOLAN (OWNER)
(704) 604-9272
Entity
Organization
Contact information
Practice address
170 MEDICAL PARK RD STE 207, MOORESVILLE, NC 28117-8583
(704) 604-9272
Mailing address
2399 CAPITAL CLUB WAY APT 200, INDIAN LAND, SC 29707-6141
(704) 604-9272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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