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Ellie Main Line Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Malvern, Pennsylvania
NPI 1528752037

Ellie Main Line Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Phoenixville, PA and is specialized in Mental Health (Including Community Mental Health Center). Ellie Main Line Llc practices in Malvern, PA. The NPI Number for Ellie Main Line Llc is 1528752037 and holds a License No. (Pennsylvania).

The current practice location address for Ellie Main Line Llc is 1200 Atwater Dr Ste 130, Malvern, PA and can be reached out via phone at 610-646-1851 and via fax at 484-355-5181.

Location: 1200 Atwater Dr Ste 130, Malvern, PA, 19460-2109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528752037
Provider Name
Ellie Main Line Llc
Credential
Provider Entity Type
Organization
Address
1200 Atwater Dr Ste 130, Malvern, PA, 19460-2109
Phone Number
610-646-1851
Fax Number
484-355-5181
Provider Enumeration Date
06/07/2023
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1200 Atwater Dr Ste 130
City
Malvern
State
Pennsylvania
Zip
19355-8782
Phone Number
610-646-1851
Fax Number
484-355-5181
person
Provider Business Mailing Address Details
Address
1200 Atwater Dr Ste 130
City
Malvern
State
Pennsylvania
Zip
19355-8782
Phone Number
610-646-1851
Fax Number
484-355-5181
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
()
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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