Healthcare Provider Details

I. General information

NPI: 1457112930
Provider Name (Legal Business Name): ELLE L MENTAL HEALTH COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2024
Last Update Date: 01/19/2026
Certification Date: 01/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CHURCH ST # 815
NEW YORK NY
10007-2601
US

IV. Provider business mailing address

100 CHURCH ST # 815
NEW YORK NY
10007-2601
US

V. Phone/Fax

Practice location:
  • Phone: 650-235-0048
  • Fax:
Mailing address:
  • Phone: 650-235-0048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ELLE LAUB
Title or Position: PRIVATE PRACTICE OWNER
Credential: LMHC, LPC, NCC
Phone: 650-235-0048