# ELLEN MENTAL HEALTH INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wylma Gibbs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992201974
- **Authorized official:** WYLMA GIBBS MFC49020 (MARRIAGE FAMILY THERAPIST)
- **Authorized official phone:** (626) 827-0418

## Contact information

- **Practice address:** 5626 SULTANA AVE APT 3, TEMPLE CITY, CA 91780-2374
- **Practice address phone:** (626) 827-0418
- **Mailing address:** 5626 SULTANA AVE APT 3, TEMPLE CITY, CA 91780-2374
- **Mailing address phone:** (626) 827-0418

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | MFC49020 | CA | Yes |

## Other

- **Enumeration date:** 03/30/2018
- **Last updated:** 03/30/2018