Ellie Mental Health | |
1820 South Eagle Rd Meridian ID 83642-2447 | |
(651) 583-4447 | |
Not Available |
Full Name | Ellie Mental Health |
---|---|
Speciality | Counselor - Mental Health |
Location | 1820 South Eagle Rd, Meridian, Idaho |
Authorized Official Name and Position | Demetria Ramakers (OWNER) |
Authorized Official Contact | 2088636423 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ellie Mental Health 1905 E Trail Blazer Dr Meridian ID 83646-5864 Ph: (651) 583-4447 | Ellie Mental Health 1820 South Eagle Rd Meridian ID 83642-2447 Ph: (651) 583-4447 |
NPI Number | 1609511856 |
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Provider Enumeration Date | 05/02/2022 |
Last Update Date | 03/13/2023 |
Certification Date | 03/13/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609511856 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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