| Ellie Mental Health Lexington Palomar | |
|
1056 Wellington Way Ste 160 Lexington KY 40513-2002 | |
| (859) 800-6319 | |
| Not Available |
| Full Name | Ellie Mental Health Lexington Palomar |
|---|---|
| Speciality | Counselor |
| Location | 1056 Wellington Way Ste 160, Lexington, Kentucky |
| Authorized Official Name and Position | Amy Bassel (OWNER) |
| Authorized Official Contact | 8594757650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health Lexington Palomar 120 Mill Springs Cir Nicholasville KY 40356-8751 Ph: (805) 540-0172 | Ellie Mental Health Lexington Palomar 1056 Wellington Way Ste 160 Lexington KY 40513-2002 Ph: (859) 800-6319 |
| NPI Number | 1992412506 |
|---|---|
| Provider Enumeration Date | 11/02/2022 |
| Last Update Date | 12/15/2023 |
| Certification Date | 12/15/2023 |
| Medicare PECOS PAC ID | 8820441496 |
|---|---|
| Medicare Enrollment ID | O20240130003549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992412506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Marlene B Huff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851311997 PECOS PAC ID: 2961435839 Enrollment ID: I20050913000221 |
| Provider Name | Shelby Reed Pennick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073264172 PECOS PAC ID: 2466895057 Enrollment ID: I20240212000454 |
| Provider Name | Melissa Wolfe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902045651 PECOS PAC ID: 5496191041 Enrollment ID: I20240306001660 |
Alexander J. Tikhtman, M.d., P.s.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1517 Nicholasville Rd, Suite 403, Lexington, KY 40503 Phone: 859-276-6168 Fax: 859-276-0850 | |
Verbal Behavior Consulting, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1035 Strader Dr Ste 150, Lexington, KY 40505 Phone: 859-899-9200 Fax: 859-899-9202 | |
Thomas-peeples & Associates, Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Dennis Dr, Lexington, KY 40503 Phone: 859-278-4775 Fax: 859-373-0018 | |
Kvc Behavorial Healthcare Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 Beasley St, Lexington, KY 40509 Phone: 859-254-1035 | |
Momo Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 Glenn Pl, Lexington, KY 40505 Phone: 502-509-9436 | |
Andre N. Fernandez Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Darby Creek Rd, Suite 21, Lexington, KY 40509 Phone: 859-263-9305 Fax: 859-264-1169 | |
Mended Counseling & Trauma Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 824 Euclid Ave Ste A102, Lexington, KY 40502 Phone: 859-338-0006 |