Organization
ELLIE OF MARYLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL RICHARD STAMPER (MANAGING PARTNER)
(443) 336-9745
Entity
Organization
Contact information
Practice address
900 BESTGATE RD STE 210, ANNAPOLIS, MD 21401-7922
(443) 336-9745
Mailing address
227 PEGASUS CT, GAMBRILLS, MD 21054-1145
(443) 336-9745
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
02/06/2023
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