Organization
BELLAIRE ELLIE CLINIC PC
Active
Other names
Ellie Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
JENIFFER K ESCLOVON LPC-S (OWNER)
(409) 626-1329
Entity
Organization
Contact information
Practice address
6300 WEST LOOP S STE 110, BELLAIRE, TX 77401-2919
(832) 924-0348
(832) 852-5754
Mailing address
6300 WEST LOOP S STE 110, BELLAIRE, TX 77401-2919
(832) 924-0348
(832) 852-5754
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
09/13/2024
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