| Ellie Mental Health | |
|
2301 Brookstone Centre Pkwy Ste 200 Columbus GA 31904-9219 | |
| (205) 886-1099 | |
| Not Available |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2301 Brookstone Centre Pkwy Ste 200, Columbus, Georgia |
| Authorized Official Name and Position | John West Martin (OWNER) |
| Authorized Official Contact | 2058861099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 306 N Randolph Ave Eufaula AL 36027-1635 Ph: (205) 886-1099 | Ellie Mental Health 2301 Brookstone Centre Pkwy Ste 200 Columbus GA 31904-9219 Ph: (205) 886-1099 |
| NPI Number | 1952038598 |
|---|---|
| Provider Enumeration Date | 08/03/2022 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952038598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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