Organization
ELLIE MENTAL HEALTH LIVE AUTHENTIC PLLC
Active
Other names
Ellie Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF MCDONALD (OPERATIONS MANGER)
(810) 302-4777
Entity
Organization
Contact information
Practice address
41800 W 11 MILE RD STE 110, NOVI, MI 48375-1818
(947) 219-1283
Mailing address
41800 W 11 MILE RD STE 110, NOVI, MI 48375-1818
(947) 219-1283
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
07/11/2025
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