| Ellie Mental Health | |
|
15930 19 Mile Rd Ste 150 Clinton Township MI 48038-1155 | |
| (810) 252-9019 | |
| Not Available |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Counselor |
| Location | 15930 19 Mile Rd Ste 150, Clinton Township, Michigan |
| Authorized Official Name and Position | Sandra Abissini (OWNER) |
| Authorized Official Contact | 8102529019 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 18900 Strongford Dr Macomb MI 48044-1799 Ph: (810) 252-9019 | Ellie Mental Health 15930 19 Mile Rd Ste 150 Clinton Township MI 48038-1155 Ph: (810) 252-9019 |
| NPI Number | 1730899824 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 10/07/2023 |
| Certification Date | 10/07/2023 |
| Medicare PECOS PAC ID | 2668828930 |
|---|---|
| Medicare Enrollment ID | O20231023001369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730899824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Matthew Storey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164879441 PECOS PAC ID: 7012264724 Enrollment ID: I20180725003004 |
| Provider Name | Enjoli Monique Harrington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740526318 PECOS PAC ID: 0941657555 Enrollment ID: I20231103000402 |
| Provider Name | Krzysztof Kuchta |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1447642004 PECOS PAC ID: 8921454299 Enrollment ID: I20231122000746 |
| Provider Name | Sarah Rose Waterman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437798105 PECOS PAC ID: 0345698601 Enrollment ID: I20231127002069 |
| Provider Name | Krzysztof Kuchta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447642004 PECOS PAC ID: 8921454299 Enrollment ID: I20231204000508 |
Henry Ford Macomb Hospital Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 43411 Garfield Rd, Clinton Township, MI 48038 Phone: 586-226-7007 | |
Easter Seals-michigan, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 15600 19 Mile Rd, Clinton Township, MI 48038 Phone: 586-263-8700 | |
Douglas Shore & Sylvia Voelker Ptrs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 34605 Harper Avenue, Clinton Township, MI 48035 Phone: 586-791-6060 Fax: 586-781-8211 | |
Denise M Hubert, Lmsw Professional Limited Liability Company Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 16950 19 Mile Rd, Suite 3f, Clinton Township, MI 48038 Phone: 586-855-5022 Fax: 586-855-5026 | |
Macomb County Community Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 43740 N Groesbeck Hwy, Clinton Township, MI 48036 Phone: 586-469-7789 | |
Hamilton Wellness, Plc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 16931 19 Mile Rd Ste 140, Clinton Township, MI 48038 Phone: 586-226-2822 Fax: 586-226-2833 | |
Icare Counseling Of Michigan, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 16950 19 Mile Rd, Suite 3g, Clinton Township, MI 48038 Phone: 586-292-3397 Fax: 586-228-8809 |