| Ellie Mental Health | |
|
36400 Woodward Ave Ste 222 Bloomfield Hills MI 48304-0913 | |
| (734) 645-8177 | |
| Not Available |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 36400 Woodward Ave Ste 222, Bloomfield Hills, Michigan |
| Authorized Official Name and Position | Scott Hedges (OWNER) |
| Authorized Official Contact | 2483031039 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 36400 Woodward Ave Ste 222 Bloomfield Hills MI 48304-0913 Ph: () - | Ellie Mental Health 36400 Woodward Ave Ste 222 Bloomfield Hills MI 48304-0913 Ph: (734) 645-8177 |
| NPI Number | 1467163881 |
|---|---|
| Provider Enumeration Date | 12/06/2022 |
| Last Update Date | 06/25/2024 |
| Certification Date | 06/14/2024 |
| Medicare PECOS PAC ID | 5496129520 |
|---|---|
| Medicare Enrollment ID | O20230313001857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467163881 | NPI | - | NPPES |
| Provider Name | Claire Marie Mcginn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710539358 PECOS PAC ID: 9032583174 Enrollment ID: I20230313001923 |
| Provider Name | Gabrielle Elise Gallagher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992291330 PECOS PAC ID: 5698124378 Enrollment ID: I20231206002061 |
| Provider Name | Jessica Blair Peters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508338229 PECOS PAC ID: 6305295015 Enrollment ID: I20231206003520 |
| Provider Name | Kristen Lee Boike |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316418106 PECOS PAC ID: 0244677045 Enrollment ID: I20240327003734 |
| Provider Name | Samantha Susan Morrison Cleaver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215288501 PECOS PAC ID: 2264963404 Enrollment ID: I20240930001188 |
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