| Ellie Mental Health | |
|
450 Alkyre Run Dr Ste 250 Westerville OH 43082-6076 | |
| (614) 705-2585 | |
| Not Available |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Counselor |
| Location | 450 Alkyre Run Dr Ste 250, Westerville, Ohio |
| Authorized Official Name and Position | Dave Cherry (VICE PRESIDENT) |
| Authorized Official Contact | 6143544822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 5136 Abbotsbury Ct New Albany OH 43054-9357 Ph: (614) 354-4822 | Ellie Mental Health 450 Alkyre Run Dr Ste 250 Westerville OH 43082-6076 Ph: (614) 705-2585 |
| NPI Number | 1942910104 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/23/2024 |
| Medicare PECOS PAC ID | 4284088188 |
|---|---|
| Medicare Enrollment ID | O20230926003899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942910104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Brittany Mendenhall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528558764 PECOS PAC ID: 5294151643 Enrollment ID: I20200814002139 |
| Provider Name | Allison K Lombardo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821517855 PECOS PAC ID: 0547614448 Enrollment ID: I20240112002767 |
| Provider Name | Megan Coblentz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871078147 PECOS PAC ID: 4082065172 Enrollment ID: I20240112003939 |
| Provider Name | Scott C Wolfe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306206073 PECOS PAC ID: 8022460138 Enrollment ID: I20240113000532 |
| Provider Name | Richard Alfonso Avila |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760265409 PECOS PAC ID: 1254774722 Enrollment ID: I20240212003370 |
| Provider Name | Alice Mills Mai |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144791526 PECOS PAC ID: 6204275902 Enrollment ID: I20240415001243 |
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