Organization
ELLIE OPK
Active
Other names
Ellie Mental Health - Overland Park
Organization subpart
No
Provider details
NPI number
Authorized official
DAVA ELIZABETH MCCOY LCMFT (CLINIC DIRECTOR)
(949) 246-5321
Entity
Organization
Contact information
Practice address
10881 LOWELL AVE STE 130, OVERLAND PARK, KS 66210-1666
(256) 520-5035
Mailing address
11490 S LAKECREST DR, OLATHE, KS 66061-7525
(949) 246-5321
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
12/21/2022
Last updated
08/27/2024
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