| Ellie Mental Health | |
|
9050 Pines Blvd Ste 305 Pembroke Pines FL 33024-6422 | |
| (630) 205-4664 | |
| Not Available |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Counselor |
| Location | 9050 Pines Blvd Ste 305, Pembroke Pines, Florida |
| Authorized Official Name and Position | Haaris Ali (OWNER) |
| Authorized Official Contact | 6302054664 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 8129 Nw 106th Ln Parkland FL 33076-4748 Ph: (630) 205-4664 | Ellie Mental Health 9050 Pines Blvd Ste 305 Pembroke Pines FL 33024-6422 Ph: (630) 205-4664 |
| NPI Number | 1912630112 |
|---|---|
| Provider Enumeration Date | 07/05/2022 |
| Last Update Date | 10/19/2023 |
| Certification Date | 10/19/2023 |
| Medicare PECOS PAC ID | 9830568401 |
|---|---|
| Medicare Enrollment ID | O20221205000938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912630112 | NPI | - | NPPES |
| Provider Name | Sadia Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912153115 PECOS PAC ID: 6709067432 Enrollment ID: I20200228001987 |
| Provider Name | Jennifer Garriott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568791549 PECOS PAC ID: 2466843024 Enrollment ID: I20220617000851 |
| Provider Name | Renee Rosemary Torriere-wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669629598 PECOS PAC ID: 8729437744 Enrollment ID: I20231214003930 |
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