Ellie Mental Health-raleigh | |
2709 Blue Ridge Rd Ste 190 Raleigh NC 27607-0113 | |
(571) 274-8132 | |
Not Available |
Full Name | Ellie Mental Health-raleigh |
---|---|
Speciality | Counselor - Mental Health |
Location | 2709 Blue Ridge Rd Ste 190, Raleigh, North Carolina |
Authorized Official Name and Position | Samantha Simon (CLINIC DIRECTOR) |
Authorized Official Contact | 7049915159 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ellie Mental Health-raleigh 2709 Blue Ridge Rd Ste 190 Raleigh NC 27607 Ph: (919) 322-0140 | Ellie Mental Health-raleigh 2709 Blue Ridge Rd Ste 190 Raleigh NC 27607-0113 Ph: (571) 274-8132 |
NPI Number | 1992410716 |
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Provider Enumeration Date | 01/16/2023 |
Last Update Date | 03/12/2024 |
Certification Date | 03/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992410716 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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