Organization
ELLEI CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUTUMN BROWN LCSW (OWNER)
(812) 345-2077
Entity
Organization
Contact information
Practice address
16 E MAIN ST, NEW PALESTINE, IN 46163-9504
(812) 345-2077
Mailing address
7425 YORKSHIRE BLVD N, INDIANAPOLIS, IN 46229-4232
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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