| Ellie Mental Health | |
|
1525 Corporate Woods Pkwy Ste 300 Uniontown OH 44685-7883 | |
| (330) 207-4500 | |
| Not Available |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Counselor |
| Location | 1525 Corporate Woods Pkwy Ste 300, Uniontown, Ohio |
| Authorized Official Name and Position | John Paul Jacola (OWNER) |
| Authorized Official Contact | 3302074500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 3950 Raintree Cir Uniontown OH 44685-7875 Ph: (330) 207-4500 | Ellie Mental Health 1525 Corporate Woods Pkwy Ste 300 Uniontown OH 44685-7883 Ph: (330) 207-4500 |
| NPI Number | 1457068702 |
|---|---|
| Provider Enumeration Date | 11/04/2022 |
| Last Update Date | 01/28/2024 |
| Certification Date | 01/28/2024 |
| Medicare PECOS PAC ID | 2668816075 |
|---|---|
| Medicare Enrollment ID | O20240213004487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457068702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Caterina Hutchison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154897395 PECOS PAC ID: 1153739057 Enrollment ID: I20210414000273 |
| Provider Name | Matthew G Brandon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245714823 PECOS PAC ID: 0042654220 Enrollment ID: I20240215001524 |
| Provider Name | Rene Alane Perez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174643795 PECOS PAC ID: 5193169373 Enrollment ID: I20240215001685 |
| Provider Name | Wanda S Hively |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104902907 PECOS PAC ID: 7113361031 Enrollment ID: I20240220000911 |
| Provider Name | Christopher J Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780023606 PECOS PAC ID: 9830533249 Enrollment ID: I20240314003732 |
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