Organization
BENEATH THE SURFACE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLIAN COZETE ELLISON LMFT (FOUNDER AND CLINICAL DIRECTOR)
(760) 836-6292
Entity
Organization
Contact information
Practice address
78150 CALLE TAMPICO, STE 200I, LA QUINTA, CA 92253
(760) 836-6292
(760) 369-7352
Mailing address
78150 CALLE TAMPICO, STE 200I, LA QUINTA, CA 92253
(760) 836-6292
(760) 369-7352
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/26/2025
Last updated
07/28/2025
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