Monifa Ellisaddie, LMFT is a
Marriage & Family Therapist based in Locust Grove, Georgia. Monifa Ellisaddie is licensed to practice in California (license number 132372) and her current practice location is
1012 Battersea Pl, Locust Grove, Georgia. She can be reached at her office (for appointments etc.) via phone at
(818) 925-0569.
NPI number for Monifa Ellisaddie is 1184337941 and her current mailing address is 1012 Battersea Pl, Locust Grove, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184337941.
Healthcare Provider's Profile
Full Name | Monifa Ellisaddie |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 1012 Battersea Pl, Locust Grove, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184337941
- Provider Enumeration Date: 12/26/2022
- Last Update Date: 12/26/2022
Medical Identifiers
Medical identifiers for Monifa Ellisaddie such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184337941 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 132372 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Monifa Ellisaddie is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Monifa Ellisaddie, LMFT 1012 Battersea Pl, Locust Grove, GA 30248-2077 Ph: (908) 644-4830 | Monifa Ellisaddie, LMFT 1012 Battersea Pl, Locust Grove, GA 30248-2077 Ph: (818) 925-0569 |
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