Ellie Mental Health | |
700 N Central Ave Ste 340 Glendale CA 91203-4238 | |
(818) 275-8411 | |
Not Available |
Full Name | Ellie Mental Health |
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Speciality | Clinic/Center |
Location | 700 N Central Ave Ste 340, Glendale, California |
Authorized Official Name and Position | Cynthia E Stern (OWNER/LMFT) |
Authorized Official Contact | 8182758411 |
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 9018 Balboa Blvd # 605 Northridge CA 91325-2610 Ph: (818) 275-8411 | Ellie Mental Health 700 N Central Ave Ste 340 Glendale CA 91203-4238 Ph: (818) 275-8411 |
NPI Number | 1437831799 |
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Provider Enumeration Date | 08/04/2023 |
Last Update Date | 01/23/2024 |
Certification Date | 01/23/2024 |
Medicare PECOS PAC ID | 3375988397 |
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Medicare Enrollment ID | O20240229003132 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437831799 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Cynthia Erica Stern |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1891152070 PECOS PAC ID: 8729423744 Enrollment ID: I20240229003282 |
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