| Ellie Mental Health | |
|
5460 Village Dr Rockledge FL 32955-6569 | |
| (312) 285-3916 | |
| Not Available |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5460 Village Dr, Rockledge, Florida |
| Authorized Official Name and Position | Kevin Christian Hill (OWNER) |
| Authorized Official Contact | 3122853916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 5014 Pinot St Rockledge FL 32955-5167 Ph: (312) 285-3916 | Ellie Mental Health 5460 Village Dr Rockledge FL 32955-6569 Ph: (312) 285-3916 |
| NPI Number | 1508501420 |
|---|---|
| Provider Enumeration Date | 05/04/2022 |
| Last Update Date | 05/04/2022 |
| Certification Date | 04/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508501420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
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