Ellie Mental Health - Wesley Chapel | |
3636 Galileo Drive Suite 101 And 102 New Port Richey FL 34655 | |
(813) 714-7587 | |
Not Available |
Full Name | Ellie Mental Health - Wesley Chapel |
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Speciality | Counselor |
Location | 3636 Galileo Drive, New Port Richey, Florida |
Authorized Official Name and Position | Haley Helbig (ADMINISTRATOR) |
Authorized Official Contact | 8137147587 |
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 - Wesley Chapel 2653 Bruce B Downs Blvd Unit 108-141 Wesley Chapel FL 33544-9206 Ph: (813) 714-7587 | Ellie Mental Health - Wesley Chapel 3636 Galileo Drive Suite 101 And 102 New Port Richey FL 34655 Ph: (813) 714-7587 |
NPI Number | 1003691163 |
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Provider Enumeration Date | 08/28/2023 |
Last Update Date | 05/09/2024 |
Certification Date | 05/09/2024 |
Medicare PECOS PAC ID | 8426498932 |
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Medicare Enrollment ID | O20240501002445 |
Identifier | Type | State | Issuer |
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1003691163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Tristine Barry |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1457934036 PECOS PAC ID: 2860839719 Enrollment ID: I20240327001639 |
Provider Name | Beyda Torres |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1164670204 PECOS PAC ID: 1254771785 Enrollment ID: I20240501002815 |
Provider Name | Dina Hargrave |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1598157489 PECOS PAC ID: 8224480280 Enrollment ID: I20240501004069 |
Provider Name | Alyssa Ashley Cain |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356048896 PECOS PAC ID: 9638611932 Enrollment ID: I20240601000149 |
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