| Ellie Mental Health | |
|
128 Vision Park Blvd Ste 230 Shenandoah TX 77384-3018 | |
| (832) 346-8082 | |
| (281) 962-7795 |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Counselor |
| Location | 128 Vision Park Blvd Ste 230, Shenandoah, Texas |
| Authorized Official Name and Position | Andrea Shiflet (OWNER) |
| Authorized Official Contact | 8065772321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 128 Vision Park Blvd Ste 230 Shenandoah TX 77384-3018 Ph: (832) 346-8082 | Ellie Mental Health 128 Vision Park Blvd Ste 230 Shenandoah TX 77384-3018 Ph: (832) 346-8082 |
| NPI Number | 1447978259 |
|---|---|
| Provider Enumeration Date | 08/17/2022 |
| Last Update Date | 09/19/2024 |
| Certification Date | 08/31/2024 |
| Medicare PECOS PAC ID | 5092172668 |
|---|---|
| Medicare Enrollment ID | O20230613002554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447978259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Shelby Doyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497462386 PECOS PAC ID: 0446618052 Enrollment ID: I20230614000267 |
| Provider Name | Sheri Lynn Dunn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528769734 PECOS PAC ID: 2163874389 Enrollment ID: I20240123003161 |
| Provider Name | Andrea Claire Shiflet |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831527258 PECOS PAC ID: 1355708900 Enrollment ID: I20240126003051 |
| Provider Name | Amanda M Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275248650 PECOS PAC ID: 7315390234 Enrollment ID: I20240126003416 |
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