Provider Demographics
NPI:1902672280
Name:ETHANNA, INC
Entity Type:Organization
Organization Name:ETHANNA, INC
Other - Org Name:ELLIE MENTAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:S
Authorized Official - Last Name:TRAUMULLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-973-8661
Mailing Address - Street 1:310 SUGARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:VENETIA
Mailing Address - State:PA
Mailing Address - Zip Code:15367-2363
Mailing Address - Country:US
Mailing Address - Phone:412-973-8661
Mailing Address - Fax:
Practice Address - Street 1:2600 OLD WASHINGTON RD STE 150
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-2595
Practice Address - Country:US
Practice Address - Phone:412-910-1962
Practice Address - Fax:412-532-9767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-28
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty