| Ellie Mental Health Of Las Vegas | |
|
8687 W Sahara Ave Ste 201 Las Vegas NV 89117-5869 | |
| (702) 817-0068 | |
| Not Available |
| Full Name | Ellie Mental Health Of Las Vegas |
|---|---|
| Speciality | Psychologist |
| Location | 8687 W Sahara Ave Ste 201, Las Vegas, Nevada |
| Authorized Official Name and Position | Michelle Catherine Zochowski-tullio (OWNER) |
| Authorized Official Contact | 7025770393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health Of Las Vegas 8687 W Sahara Ave Ste 201 Las Vegas NV 89117-5869 Ph: () - | Ellie Mental Health Of Las Vegas 8687 W Sahara Ave Ste 201 Las Vegas NV 89117-5869 Ph: (702) 817-0068 |
| NPI Number | 1811600265 |
|---|---|
| Provider Enumeration Date | 12/30/2022 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/04/2023 |
| Medicare PECOS PAC ID | 4284007469 |
|---|---|
| Medicare Enrollment ID | O20230309000937 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811600265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Krystin H Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558836551 PECOS PAC ID: 3274940374 Enrollment ID: I20210407000745 |
| Provider Name | Michelle Catherine Zochowski-tullio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962063339 PECOS PAC ID: 6002289287 Enrollment ID: I20230309000969 |
| Provider Name | Gabrielle Suarez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326486986 PECOS PAC ID: 9335593417 Enrollment ID: I20230922001607 |
| Provider Name | Gail Ann Silva |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1558519819 PECOS PAC ID: 8527419027 Enrollment ID: I20240109003619 |
| Provider Name | Tiffany Nicole Simonetti |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871993246 PECOS PAC ID: 2466804406 Enrollment ID: I20240116001619 |
| Provider Name | Tracie L Timme |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467096156 PECOS PAC ID: 6406208214 Enrollment ID: I20240117003144 |
| Provider Name | Kara Kemerson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952961864 PECOS PAC ID: 0547604522 Enrollment ID: I20240217000415 |
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