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Organization

JTSJ1 ENTERPRISES LLC

Active
Other names
Ellie Mental Health
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES GLANVILLE (OWNER)
(207) 303-7444
Entity
Organization

Contact information

Practice address
25 SUNDIAL AVE STE 310W, MANCHESTER, NH 03103-7244
(207) 303-7444
Mailing address
243 MITCHELL RD, CAPE ELIZABETH, ME 04107-1213
(207) 303-7444

Taxonomy

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

Other

Enumeration date
05/29/2023
Last updated
05/29/2023
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