| Ellie Mental Health Cypress | |
|
8118 Fry Rd Unit 2 Cypress TX 77433-7849 | |
| (713) 962-0791 | |
| Not Available |
| Full Name | Ellie Mental Health Cypress |
|---|---|
| Speciality | Counselor |
| Location | 8118 Fry Rd Unit 2, Cypress, Texas |
| Authorized Official Name and Position | Sarah Dunn (CLINIC DIRECTOR) |
| Authorized Official Contact | 7139620791 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health Cypress 8118 Fry Rd Unit 2 Cypress TX 77433-7849 Ph: (713) 962-0791 | Ellie Mental Health Cypress 8118 Fry Rd Unit 2 Cypress TX 77433-7849 Ph: (713) 962-0791 |
| NPI Number | 1841995404 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Medicare PECOS PAC ID | 7012364466 |
|---|---|
| Medicare Enrollment ID | O20231107003231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841995404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Thomas Joseph Stearns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306570486 PECOS PAC ID: 8820445281 Enrollment ID: I20231107003892 |
| Provider Name | Stephanie La Sha Suchon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649777236 PECOS PAC ID: 9739530494 Enrollment ID: I20240105004259 |
| Provider Name | Sarah Potter Dunn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588918478 PECOS PAC ID: 5092162446 Enrollment ID: I20240106000014 |
| Provider Name | Tammy Yen Cher Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710633433 PECOS PAC ID: 0840641510 Enrollment ID: I20240106000180 |
| Provider Name | Priya Hajari |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255963203 PECOS PAC ID: 9436500113 Enrollment ID: I20240106000395 |
| Provider Name | Elizabeth Michele Wright |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740819416 PECOS PAC ID: 5799120697 Enrollment ID: I20240301001789 |
| Provider Name | Maryehdiah Giah |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790299758 PECOS PAC ID: 6002251758 Enrollment ID: I20240304002530 |
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