Ellie Mental Health - Nashua | |
9 Trafalgar Sq Ste 270 Nashua NH 03063-1900 | |
(603) 490-0784 | |
Not Available |
Full Name | Ellie Mental Health - Nashua |
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Speciality | Counselor |
Location | 9 Trafalgar Sq Ste 270, Nashua, New Hampshire |
Authorized Official Name and Position | John Stevens (MEMBER) |
Authorized Official Contact | 6034900784 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ellie Mental Health - Nashua 9 Trafalgar Sq Ste 270 Nashua NH 03063-1900 Ph: () - | Ellie Mental Health - Nashua 9 Trafalgar Sq Ste 270 Nashua NH 03063-1900 Ph: (603) 490-0784 |
NPI Number | 1497516371 |
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Provider Enumeration Date | 01/18/2024 |
Last Update Date | 04/29/2024 |
Certification Date | 04/29/2024 |
Medicare PECOS PAC ID | 4183065220 |
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Medicare Enrollment ID | O20240507003703 |
Identifier | Type | State | Issuer |
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1497516371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
225XM0800X | Occupational Therapist - Mental Health | (* (Not Available)) | Secondary |
Provider Name | Susan Marie Edmonds |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1275280877 PECOS PAC ID: 8628419769 Enrollment ID: I20240507003947 |
Provider Name | Courtney Summers |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1891036570 PECOS PAC ID: 7315388485 Enrollment ID: I20240508000088 |
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