Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ellie Main Line LLC

Organization Mental Health Counselor · NPI 1528752037

Ellie Main Line LLC is a Mental Health Counselor in Malvern, Pennsylvania. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1200 Atwater Dr Ste 130
Malvern, PA 19355-8782
Phone: (610) 646-1851
Fax: (484) 355-5181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Psychologist Taxonomy 103T00000X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1528752037
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristin Dutka — Owner · (910) 515-1340
Other names Ellie Mental Health; Ellie Mental Health
NPI enumeratedJune 7, 2023
Last updated in NPPESApril 4, 2024
Certification dateApril 3, 2024
Mailing address392 Merlin Rd, Phoenixville, PA 19460-2109

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