Organization Active NPI

Seb Brands, LLC

Doing business as Ellie Mental Health

  • Mental Health Counselor
  • Atlanta, GA
National Provider Identifier
1275238644
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SEB BRANDS, LLC
Doing business as
Ellie Mental Health
Practice address
3495 Piedmont Rd NE Ste 100
Atlanta, GA 30305-1717
Phone
(678) 938-9693
NPI assigned
Apr 4, 2023
Last updated
Apr 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kenneth Joel Barrett
Title
Chief Operating Officer
Phone
(678) 938-9693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3495 Piedmont Rd NE Ste 100
Atlanta, GA 30305-1717

Mailing address

1108 Oakdale Rd NE
Atlanta, GA 30307-1216
Phone (678) 938-9693

Other names 1

  • Ellie Mental Health Doing business as

National Provider Directory

National Provider Directory

Locations

3495 Piedmont Rd NE
Ste 100
Atlanta, GA 30305
Phone (770) 758-7817

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1275238644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 OAKDALE RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071216",
            "telephone_number": "678-938-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 PIEDMONT RD NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051717",
            "telephone_number": "678-938-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEB BRANDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "678-938-9693"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.