Ellie Mental Health | |
50 Depot Rd Falmouth ME 04105-1211 | |
(207) 835-3616 | |
Not Available |
Full Name | Ellie Mental Health |
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Speciality | Counselor |
Location | 50 Depot Rd, Falmouth, Maine |
Authorized Official Name and Position | Richard Arthur Mardoian (OWNER) |
Authorized Official Contact | 6105045821 |
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 50 Depot Rd Ste 2 Falmouth ME 04105-1211 Ph: (207) 835-3616 | Ellie Mental Health 50 Depot Rd Falmouth ME 04105-1211 Ph: (207) 835-3616 |
NPI Number | 1033801675 |
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Provider Enumeration Date | 05/23/2023 |
Last Update Date | 03/01/2024 |
Certification Date | 03/01/2024 |
Medicare PECOS PAC ID | 0749630986 |
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Medicare Enrollment ID | O20231229001402 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033801675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Michelle Marie Joubert |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1629218847 PECOS PAC ID: 5294185435 Enrollment ID: I20231229001484 |
Provider Name | Scott A Heider |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1194253385 PECOS PAC ID: 7315322575 Enrollment ID: I20240126003009 |
Provider Name | Frankie Anne Holt |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1104683176 PECOS PAC ID: 2567800063 Enrollment ID: I20240403001154 |
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