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ELLIE MENTAL HEALTH
NPI 1164160099
Counselor - Mental Health in Southlake, TX

Active since May 20, 2022
1835 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092(817) 769-7687 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2024, May 20, 2022 (2 updates tracked since 2022).

About Ellie Mental Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELLIE MENTAL HEALTH (NPI 1164160099) is a healthcare organization registered as a mental health in Southlake, Texas and active in the NPI registry since May 2022. The organization maintains 2 additional practice locations and lists Allyson Stuckless, Owner, as its authorized official.

NPPES Registry Identity

NPI1164160099
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameUNSTUCK SPACE PLLC
Location Address1835 E SOUTHLAKE BLVD STE 100Southlake, TX 76092-7068
Mailing Address1835 E Southlake Blvd Ste 100Southlake, TX 76092-7068 · (817) 769-7687
Phone(817) 769-7687
Organization SubpartNo
Authorized OfficialAllyson StucklessOwner · (817) 915-4622
Enumeration DateMay 20, 2022
Last NPPES UpdateAugust 22, 20242 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
✔ NPI 1164160099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1835 E SOUTHLAKE BLVD STE 100, Southlake, TX 76092
Open in Google Maps ↗

Other Names 1

Doing Business AsEllie Mental Health

Secondary Practice Locations 2

Location 16628 Bryant Irvin Rd Ste 200Ft Worth, TX 76132-4221 · Phone (817) 886-4370
Location 22670 Firewheel Dr Ste AFlower Mound, TX 75028-7596 · Phone (817) 663-7633

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEHA ASIF QATTAN MS, LMFT
Marriage & Family Therapist
1835 E SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 769-7687
ALLYSON LEVON STUCKLESS MMFT, LPC
Counselor (Professional)
1835 E SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 769-7687
MIA CHIKITA BURGAN MA, LPC
Counselor (Professional)
1835 E SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 769-7687
KENNEDY SHAWBER FNP
Nurse Practitioner (Family)
1835 E SOUTHLAKE BLVD STE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 410-7007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Unstuck Space PLLC's NPI number?

The NPI number for Unstuck Space PLLC is 1164160099. It was assigned to this organization in the NPPES registry on May 20, 2022. The provider is doing business as Ellie Mental Health.

Where is Unstuck Space PLLC located?

Unstuck Space PLLC is located at 1835 E Southlake Blvd Ste 100, Southlake, TX 76092. The listed phone number is (817) 769-7687.

What is Unstuck Space PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Unstuck Space PLLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Unstuck Space PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Unstuck Space PLLC was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.