Ellie Mental Health | |
1435 Stuart Engals Blvd Ste 201 Mount Pleasant SC 29464-7312 | |
(404) 788-4046 | |
Not Available |
Full Name | Ellie Mental Health |
---|---|
Speciality | Counselor - Mental Health |
Location | 1435 Stuart Engals Blvd Ste 201, Mount Pleasant, South Carolina |
Authorized Official Name and Position | John Gentry (OWNER) |
Authorized Official Contact | 4047884046 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ellie Mental Health 1904 Hubbell Dr Mount Pleasant SC 29466-9246 Ph: (404) 788-4046 | Ellie Mental Health 1435 Stuart Engals Blvd Ste 201 Mount Pleasant SC 29464-7312 Ph: (404) 788-4046 |
NPI Number | 1194449199 |
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Provider Enumeration Date | 10/03/2022 |
Last Update Date | 08/23/2024 |
Certification Date | 08/23/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194449199 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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