| Ellie Mental Health | |
|
563 W 500 S Bountiful UT 84010-8172 | |
| (801) 726-4845 | |
| Not Available |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Counselor |
| Location | 563 W 500 S, Bountiful, Utah |
| Authorized Official Name and Position | Steve M Leblanc (COO) |
| Authorized Official Contact | 8017264845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 2028 S 875 E Clearfield UT 84015-6266 Ph: (801) 726-4845 | Ellie Mental Health 563 W 500 S Bountiful UT 84010-8172 Ph: (801) 726-4845 |
| NPI Number | 1154051167 |
|---|---|
| Provider Enumeration Date | 06/13/2022 |
| Last Update Date | 07/27/2022 |
| Certification Date | 07/27/2022 |
| Medicare PECOS PAC ID | 5395118293 |
|---|---|
| Medicare Enrollment ID | O20230223001570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154051167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Mary Haug |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457764821 PECOS PAC ID: 8628441490 Enrollment ID: I20230224001648 |
| Provider Name | Alyson Gardner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093232324 PECOS PAC ID: 8921471723 Enrollment ID: I20230225000258 |
| Provider Name | Clancy Halsted |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043837446 PECOS PAC ID: 0840679486 Enrollment ID: I20230306000594 |
| Provider Name | Christopher Curlett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093170706 PECOS PAC ID: 7012365976 Enrollment ID: I20231204000111 |
| Provider Name | Robert Austin Bulloch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487258299 PECOS PAC ID: 4385094994 Enrollment ID: I20231222000644 |
| Provider Name | Dina Hargrave |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598157489 PECOS PAC ID: 8224480280 Enrollment ID: I20240116002115 |
| Provider Name | Brandon Lane Woffinden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366799959 PECOS PAC ID: 4385086735 Enrollment ID: I20240530001870 |
Louis S. Naegle, Lcsw, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 Medical Dr, Suite 212, Bountiful, UT 84010 Phone: 801-298-3442 Fax: 801-292-4838 | |
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Healing Anchor Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 W 2600 S Ste 200-c, Bountiful, UT 84010 Phone: 951-813-8744 | |
Andrea D Hanson Lcmhc Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 W 2750 S, Bountiful, UT 84010 Phone: 801-928-4833 | |
Kuska Autism Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 N 1050 E, Bountiful, UT 84010 Phone: 801-980-7970 | |
Stepstone Connect Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 190 W 100 S Ste B, Bountiful, UT 84010 Phone: 801-888-3843 Fax: 855-437-8444 |