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Organization

ELLIE FAM LLC

Active
Other names
Ellie Mental Health
Organization subpart
No

Provider details

NPI number
Authorized official
EMMA MARTIN LAPLANT (SR DR BUSINESS SYSTEMS & STRATEGY)
(952) 334-2542
Entity
Organization

Contact information

Practice address
1370 MENDOTA HEIGHTS RD, MENDOTA HEIGHTS, MN 55120-1281
(651) 583-4447
Mailing address
1370 MENDOTA HEIGHTS RD, MENDOTA HEIGHTS, MN 55120-1281
(651) 583-4447

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
05/18/2022
Last updated
10/24/2022
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