Ellen Farrell, LPC is a
Counselor - Professional based in Thunderbolt, Georgia. Ellen Farrell is licensed to practice in Georgia (license number LPC004218) and her current practice location is
415 Bonaventure Rd, Thunderbolt, Georgia. She can be reached at her office (for appointments etc.) via phone at
(912) 247-4263.
NPI number for Ellen Farrell is 1144557570 and her current mailing address is 105 Willow Point Cir, Pooler, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144557570.
Healthcare Provider's Profile
| Full Name | Ellen Farrell |
|---|
| Gender | Female |
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| Speciality | Counselor - Professional |
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| Location | 415 Bonaventure Rd, Thunderbolt, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1144557570
- Provider Enumeration Date: 11/05/2009
- Last Update Date: 11/05/2009
Medical Identifiers
Medical identifiers for Ellen Farrell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144557570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | LPC004218 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ellen Farrell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ellen Farrell, LPC
105 Willow Point Cir,
Pooler, GA 31322-3925
Ph: (912) 247-4263 | Ellen Farrell, LPC
415 Bonaventure Rd,
Thunderbolt, GA 31404-3299
Ph: (912) 247-4263 |
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