Provider First Line Business Practice Location Address:
ELLIE MENTAL HEALTH
Provider Second Line Business Practice Location Address:
3585 N UNIVERSITY AVENUE,, PROVO, UT 84604
Provider Business Practice Location Address City Name:
PROVO
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-797-1111
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/14/2023