Provider Demographics
NPI:1730600412
Name:ELLE STUDIO & WELLNESS LLC
Entity type:Organization
Organization Name:ELLE STUDIO & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KEELING
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:414-520-7880
Mailing Address - Street 1:106 W SEEBOTH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53204-4329
Mailing Address - Country:US
Mailing Address - Phone:414-520-7880
Mailing Address - Fax:
Practice Address - Street 1:106 W SEEBOTH ST STE 101
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53204-4329
Practice Address - Country:US
Practice Address - Phone:414-520-7880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4551-125261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health