| Ellie Mental Health Pllc | |
|
620 Summit Crossing Pl Ste 305 Gastonia NC 28054-2176 | |
| (999) 999-9999 | |
| Not Available |
| Full Name | Ellie Mental Health Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 620 Summit Crossing Pl Ste 305, Gastonia, North Carolina |
| Authorized Official Name and Position | Renae Eades Floyd (CLINIC DIRECTOR) |
| Authorized Official Contact | 9102649779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health Pllc 620 Summit Crossing Pl Ste 305 Gastonia NC 28054-2176 Ph: () - | Ellie Mental Health Pllc 620 Summit Crossing Pl Ste 305 Gastonia NC 28054-2176 Ph: (999) 999-9999 |
| NPI Number | 1457066250 |
|---|---|
| Provider Enumeration Date | 01/17/2023 |
| Last Update Date | 01/24/2023 |
| Certification Date | 01/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457066250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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