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Organization

ELLIE MENTAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTIE HENNIGAN MS, LPC, LSATP, CSAC (CLINIC DIRECTOR)
(757) 568-5904
Entity
Organization

Contact information

Practice address
501 VILLAGE AVE STE 204, YORKTOWN, VA 23693-5657
(757) 568-5904
Mailing address
501 VILLAGE AVE STE 204, YORKTOWN, VA 23693-5657
(757) 568-5904

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
06/06/2024
Last updated
06/06/2024
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