| Ellie Mental Health | |
|
3051 W Maple Loop Dr Ste 300 Lehi UT 84043-6552 | |
| (385) 336-4740 | |
| Not Available |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Psychologist |
| Location | 3051 W Maple Loop Dr Ste 300, Lehi, Utah |
| Authorized Official Name and Position | Brita Cummings (EXECUTIVE ASSITANT) |
| Authorized Official Contact | 8013802838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 1250 E 1600 S Mapleton UT 84664-5304 Ph: (801) 380-2838 | Ellie Mental Health 3051 W Maple Loop Dr Ste 300 Lehi UT 84043-6552 Ph: (385) 336-4740 |
| NPI Number | 1831832757 |
|---|---|
| Provider Enumeration Date | 04/18/2022 |
| Last Update Date | 02/21/2024 |
| Certification Date | 02/21/2024 |
| Medicare PECOS PAC ID | 7517305303 |
|---|---|
| Medicare Enrollment ID | O20240328003245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831832757 | NPI | - | NPPES |
| Provider Name | Laura Louise Vanderhoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316593239 PECOS PAC ID: 4587043377 Enrollment ID: I20220624001837 |
| Provider Name | Spencer Joseph Staples |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487090957 PECOS PAC ID: 1052707643 Enrollment ID: I20240403000742 |
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