Provider Demographics
NPI:1457112930
Name:ELLE L MENTAL HEALTH COUNSELING PLLC
Entity Type:Organization
Organization Name:ELLE L MENTAL HEALTH COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIVATE PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUB
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, LPC, NCC
Authorized Official - Phone:650-235-0048
Mailing Address - Street 1:7 ORR HATCH
Mailing Address - Street 2:
Mailing Address - City:CORNWALL
Mailing Address - State:NY
Mailing Address - Zip Code:12518-1727
Mailing Address - Country:US
Mailing Address - Phone:650-235-0048
Mailing Address - Fax:
Practice Address - Street 1:7 ORR HATCH
Practice Address - Street 2:
Practice Address - City:CORNWALL
Practice Address - State:NY
Practice Address - Zip Code:12518-1727
Practice Address - Country:US
Practice Address - Phone:650-235-0048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty