| Ella Behavioral Health And Consulting Llc | |
|
157 Church St Fl 19 New Haven CT 06510-2100 | |
| (860) 890-8345 | |
| (860) 760-6251 |
| Full Name | Ella Behavioral Health And Consulting Llc |
|---|---|
| Speciality | Social Worker |
| Location | 157 Church St Fl 19, New Haven, Connecticut |
| Authorized Official Name and Position | Stella Ntate (OWNER/MANAGER) |
| Authorized Official Contact | 8608908345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ella Behavioral Health And Consulting Llc 157 Church St Fl 19 New Haven CT 06510-2100 Ph: (860) 890-8345 | Ella Behavioral Health And Consulting Llc 157 Church St Fl 19 New Haven CT 06510-2100 Ph: (860) 890-8345 |
| NPI Number | 1578163614 |
|---|---|
| Provider Enumeration Date | 10/28/2020 |
| Last Update Date | 05/26/2024 |
| Certification Date | 05/26/2024 |
| Medicare PECOS PAC ID | 3375955230 |
|---|---|
| Medicare Enrollment ID | O20201217000622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578163614 | NPI | - | NPPES |
| 1710144134 | Other | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Stella M Ntate |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710144134 PECOS PAC ID: 7719228519 Enrollment ID: I20190404000270 |
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