| Ellyn Nitchals-kellner Lmhc Llc | |
|
511 Duff Ave Ste 301 Ames IA 50010-6391 | |
| (515) 815-6466 | |
| (515) 619-6207 |
| Full Name | Ellyn Nitchals-kellner Lmhc Llc |
|---|---|
| Speciality | Counselor |
| Location | 511 Duff Ave Ste 301, Ames, Iowa |
| Authorized Official Name and Position | Ellyn Nitchals-kellner (OWNER) |
| Authorized Official Contact | 5158156466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellyn Nitchals-kellner Lmhc Llc 511 Duff Ave Ste 301 Ames IA 50010-6391 Ph: (515) 815-6466 | Ellyn Nitchals-kellner Lmhc Llc 511 Duff Ave Ste 301 Ames IA 50010-6391 Ph: (515) 815-6466 |
| NPI Number | 1326748641 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 03/06/2023 |
| Certification Date | 03/06/2023 |
| Medicare PECOS PAC ID | 7911342449 |
|---|---|
| Medicare Enrollment ID | O20240223003077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326748641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Ellyn Nitchals-kellner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184011025 PECOS PAC ID: 8820433352 Enrollment ID: I20240223003150 |
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