| Melissa J Ellis, MSED, LPC | |
|
4056 E State St, Hermitage, PA 16148-3403 | |
| (724) 981-5433 | |
| (724) 981-7763 |
| Full Name | Melissa J Ellis |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 4056 E State St, Hermitage, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447524111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | PC007397 (Pennsylvania) | Primary |
| Entity Name | All About Life |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215132113 PECOS PAC ID: 1759722663 Enrollment ID: O20240509001672 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa J Ellis, MSED, LPC 2201 E State St, Hermitage, PA 16148-2727 Ph: (724) 981-7141 | Melissa J Ellis, MSED, LPC 4056 E State St, Hermitage, PA 16148-3403 Ph: (724) 981-5433 |
Lori Shevitz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2201 E State St, Hermitage, PA 16148 Phone: 724-981-7141 Fax: 724-981-7763 | |
Brian Jason Leskovac, MA Counselor Medicare: Medicare Enrolled Practice Location: 689 N Hermitage Rd Ste 4, Hermitage, PA 16148 Phone: 724-983-1940 | |
Maria Lawson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2201 E State St, Hermitage, PA 16148 Phone: 724-981-7141 | |
Scott A Clary, MS Counselor Medicare: Medicare Enrolled Practice Location: 2201 E State St, Hermitage, PA 16148 Phone: 724-981-7141 Fax: 724-981-7763 | |
Tabatha Wingard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2201 E State St, Hermitage, PA 16148 Phone: 724-981-7141 | |
Leigh A Sturm, Counselor Medicare: Medicare Enrolled Practice Location: 2201 E State St, Hermitage, PA 16148 Phone: 724-981-7141 Fax: 724-981-7148 | |
Mrs. Dawn Renee Smith, PC Counselor Medicare: Medicare Enrolled Practice Location: 4056 E State St, Hermitage, PA 16148 Phone: 724-699-8818 |