# ELLAND THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871238667
- **Authorized official:** MR. MICHAEL ELLAND LMHC (OWNER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (712) 310-8464

## Contact information

- **Practice address:** 300 W BROADWAY, STE. 240, OFC 28, COUNCIL BLUFFS, IA 51503-9028
- **Practice address phone:** (712) 310-8464
- **Mailing address:** 300 W BROADWAY, STE. 240, OFC 28, COUNCIL BLUFFS, IA 51503-9028
- **Mailing address phone:** (712) 310-8464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2022
- **Last updated:** 05/05/2022