| Elite Mental Health Llc | |
|
795 Parkway Ave Unit 2 Ewing NJ 08618-2704 | |
| (862) 781-3499 | |
| (862) 781-3501 |
| Full Name | Elite Mental Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 795 Parkway Ave Unit 2, Ewing, New Jersey |
| Authorized Official Name and Position | Monica Ariyo (OWNER) |
| Authorized Official Contact | 8627813499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Mental Health Llc 795 Parkway Ave Unit 2 Ewing NJ 08618-2704 Ph: (862) 781-3499 | Elite Mental Health Llc 795 Parkway Ave Unit 2 Ewing NJ 08618-2704 Ph: (862) 781-3499 |
| NPI Number | 1245965862 |
|---|---|
| Provider Enumeration Date | 07/18/2022 |
| Last Update Date | 10/19/2022 |
| Certification Date | 10/19/2022 |
| Medicare PECOS PAC ID | 6103292768 |
|---|---|
| Medicare Enrollment ID | O20221021002636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245965862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Monica O Ariyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710558481 PECOS PAC ID: 4385041599 Enrollment ID: I20210930000143 |
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