| Ellie Mental Health | |
|
39000 7 Mile Rd Ste 2300 Livonia MI 48152-1006 | |
| (734) 252-8589 | |
| (734) 415-8427 |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Social Worker |
| Location | 39000 7 Mile Rd Ste 2300, Livonia, Michigan |
| Authorized Official Name and Position | Katherine Wood (OWNER) |
| Authorized Official Contact | 7342769025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 22587 Nona St Dearborn MI 48124-2737 Ph: () - | Ellie Mental Health 39000 7 Mile Rd Ste 2300 Livonia MI 48152-1006 Ph: (734) 252-8589 |
| NPI Number | 1770294308 |
|---|---|
| Provider Enumeration Date | 12/05/2022 |
| Last Update Date | 08/10/2023 |
| Certification Date | 08/10/2023 |
| Medicare PECOS PAC ID | 9830543446 |
|---|---|
| Medicare Enrollment ID | O20231002001083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770294308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Cassie Feldpausch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487084000 PECOS PAC ID: 8022426139 Enrollment ID: I20210408002740 |
| Provider Name | Robin L Chaustowich |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588294672 PECOS PAC ID: 3375991326 Enrollment ID: I20231130003214 |
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