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General NPI Number Information
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NPI Number | 1578163614
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Entity Type | Organization
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Legal Business Name | ELLA BEHAVIORAL HEALTH AND CONSULTING LLC
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Dates
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Enumeration Date | 10/28/2020
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Last Update Date | 05/26/2024
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Provider Practice Location Address
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Address Line | 157 CHURCH ST FL 19
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City | NEW HAVEN
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State | CT
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Zip | 06510-2100
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Country | US
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Telephone | 860-890-8345
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Fax | 860-760-6251
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Provider Business Mailing Address
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Address Line | 157 CHURCH ST FL 19
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City | NEW HAVEN
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State | CT
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Zip | 06510-2100
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Country | US
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Telephone | 860-890-8345
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Fax | 860-760-6251
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | STELLA NTATE
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Credential | LCSW, LADC
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Telephone | 860-890-8345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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