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Organization
ELLIE PBC LLC
Active
Organization
ELLIE PBC LLC
Active
Other names
Ellie Mental Health - Lake Worth Florida
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAARIS ALI (OWNER)
(630) 205-4664
Entity
Organization
Contact information
Practice address
2290 10TH AVE N STE 601, LAKE WORTH, FL 33461-6618
(917) 855-2799
Mailing address
2290 10TH AVE N STE 201, LAKE WORTH, FL 33461-6609
(630) 205-4664
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
08/06/2026
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