| Ellie Mental Health Live Authentic Pllc | |
|
41800 W 11 Mile Rd Ste 110 Novi MI 48375-1818 | |
| (947) 219-1283 | |
| Not Available |
| Full Name | Ellie Mental Health Live Authentic Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 41800 W 11 Mile Rd Ste 110, Novi, Michigan |
| Authorized Official Name and Position | Jeff Mcdonald (OWNER) |
| Authorized Official Contact | 9108531533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health Live Authentic Pllc 41800 W 11 Mile Rd Ste 110 Novi MI 48375-1818 Ph: (947) 219-1283 | Ellie Mental Health Live Authentic Pllc 41800 W 11 Mile Rd Ste 110 Novi MI 48375-1818 Ph: (947) 219-1283 |
| NPI Number | 1760193031 |
|---|---|
| Provider Enumeration Date | 12/07/2022 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Medicare PECOS PAC ID | 0648644658 |
|---|---|
| Medicare Enrollment ID | O20230314002233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760193031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| Provider Name | Susan L Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508984568 PECOS PAC ID: 4486786746 Enrollment ID: I20100722000021 |
| Provider Name | Kehly L Syrkett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275867574 PECOS PAC ID: 2668792540 Enrollment ID: I20150515001264 |
| Provider Name | Holly Sue Metzger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003269036 PECOS PAC ID: 3274961123 Enrollment ID: I20200309000329 |
| Provider Name | Talib Kafaji |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700477924 PECOS PAC ID: 2466868765 Enrollment ID: I20210311001433 |
| Provider Name | Insiya Hasan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245581388 PECOS PAC ID: 8628442456 Enrollment ID: I20230319000037 |
| Provider Name | Carrie Stollman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013682228 PECOS PAC ID: 4082060900 Enrollment ID: I20231030002350 |
| Provider Name | Jessica Blair Peters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508338229 PECOS PAC ID: 6305295015 Enrollment ID: I20231206003520 |
Inspire Autism Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 39525 W 14 Mile Rd Ste 100, Novi, MI 48377 Phone: 248-417-4237 | |
Hope Network Insight Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24230 Karim Blvd, Suite 160, Novi, MI 48375 Phone: 248-442-4944 | |
England Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23755 Pheasant Run, Novi, MI 48375 Phone: 248-210-6839 | |
Sharmista Chintalapalli Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24753 Driftwood Dr, Novi, MI 48374 Phone: 563-528-4288 | |
Michigan Neurology Clinic Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 31208 Beck Rd, Novi, MI 48377 Phone: 248-579-4052 | |
Patrick Oconnell Do Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 42450 W 12 Mile Rd Ste 315, Novi, MI 48377 Phone: 248-513-4100 Fax: 248-513-4105 | |
We Care Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22753 Cortes St, Novi, MI 48375 Phone: 734-664-7551 |