Ellie Mental Health | |
2300 W Fm 544 Ste 245 Wylie TX 75098-4931 | |
(214) 498-7680 | |
Not Available |
Full Name | Ellie Mental Health |
---|---|
Speciality | Counselor |
Location | 2300 W Fm 544 Ste 245, Wylie, Texas |
Authorized Official Name and Position | Brandi Garza (CLINIC DIRECTOR) |
Authorized Official Contact | 2142846800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ellie Mental Health 2300 W Fm 544 Ste 245 Wylie TX 75098-4931 Ph: (214) 498-7680 | Ellie Mental Health 2300 W Fm 544 Ste 245 Wylie TX 75098-4931 Ph: (214) 498-7680 |
NPI Number | 1225739196 |
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Provider Enumeration Date | 03/16/2023 |
Last Update Date | 05/08/2024 |
Certification Date | 05/08/2024 |
Medicare PECOS PAC ID | 3971945031 |
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Medicare Enrollment ID | O20240521004343 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225739196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Alexandra Brown |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1356123228 PECOS PAC ID: 4688116965 Enrollment ID: I20240603002706 |
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