| Ellie Mental Health - St. Petersburg | |
|
9400 4th St N Ste 200 St Petersburg FL 33702-2501 | |
| (727) 513-2962 | |
| Not Available |
| Full Name | Ellie Mental Health - St. Petersburg |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9400 4th St N Ste 200, St Petersburg, Florida |
| Authorized Official Name and Position | Katherine Planchard (CLINIC DIRECTOR) |
| Authorized Official Contact | 5082126095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health - St. Petersburg 324 N Bay Hills Blvd Safety Harbor FL 34695-4905 Ph: (717) 608-0329 | Ellie Mental Health - St. Petersburg 9400 4th St N Ste 200 St Petersburg FL 33702-2501 Ph: (727) 513-2962 |
| NPI Number | 1972218055 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 09/14/2023 |
| Certification Date | 09/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972218055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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