Organization
CALADIUM COUNSELING, PLLC
Active
Other names
Ellie Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN MACKTINGER (OWNER)
(214) 724-7090
Entity
Organization
Contact information
Practice address
10300 N CENTRAL EXPY STE 220, DALLAS, TX 75231-8626
(651) 313-8080
Mailing address
5909 AZALEA LN, DALLAS, TX 75230-3403
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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