Mr James Randall Ellis, MA, LMHC | |
4001 N Cook St Ste 900, Spokane, WA 99207-5879 | |
(509) 483-3427 | |
(509) 482-4040 |
Full Name | Mr James Randall Ellis |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 4001 N Cook St Ste 900, Spokane, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942709191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LH61039976 (Washington) | Primary |
Entity Name | Yakima Valley Farm Workers Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295788602 PECOS PAC ID: 4385541986 Enrollment ID: O20040211000663 |
Mailing Address | Practice Location Address |
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Mr James Randall Ellis, MA, LMHC Po Box 190, Toppenish, WA 98948-0190 Ph: (509) 865-2395 | Mr James Randall Ellis, MA, LMHC 4001 N Cook St Ste 900, Spokane, WA 99207-5879 Ph: (509) 483-3427 |
Kelli J George, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1803 W Maxwell Ave, Spokane, WA 99201 Phone: 509-325-5502 | |
Ashlee Guckel, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 100 N Howard St Ste R, Spokane, WA 99201 Phone: 971-910-3182 | |
Anna Lisa Ochiltre, MS Counselor Medicare: Medicare Enrolled Practice Location: 2118 E Sprague Ave, Spokane, WA 99202 Phone: 509-838-4128 Fax: 509-838-4816 | |
Michael Robert Sullivan, MSW Counselor Medicare: Medicare Enrolled Practice Location: 107 S Division St, Spokane, WA 99202 Phone: 509-838-4651 | |
Simonne Marie Crooks, BA, SUDP, AAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22 S Thor St, Spokane, WA 99202 Phone: 509-532-2000 Fax: 509-532-2005 | |
Sandra Kay Robinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: New Horizons Care Centers, Inc., 701 E 3rd Street, Spokane, WA 99201 Phone: 509-838-6092 | |
Laura Ann Long, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 E Cozza Dr, Spokane, WA 99208 Phone: 509-325-6800 Fax: 509-326-5025 |