| Ellie Mental Health Counseling | |
|
3019 Monroe Ave Ste 200r Rochester NY 14618-4600 | |
| (585) 920-2290 | |
| Not Available |
| Full Name | Ellie Mental Health Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 3019 Monroe Ave Ste 200r, Rochester, New York |
| Authorized Official Name and Position | Victoria Henderson (CLINIC DIRECTOR) |
| Authorized Official Contact | 5859202290 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health Counseling 3019 Monroe Ave Ste 200r Rochester NY 14618-4600 Ph: (585) 902-2290 | Ellie Mental Health Counseling 3019 Monroe Ave Ste 200r Rochester NY 14618-4600 Ph: (585) 920-2290 |
| NPI Number | 1043909054 |
|---|---|
| Provider Enumeration Date | 05/04/2023 |
| Last Update Date | 05/22/2023 |
| Certification Date | 05/22/2023 |
| Medicare PECOS PAC ID | 3678916871 |
|---|---|
| Medicare Enrollment ID | O20240205002357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043909054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Victoria Claire Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063744308 PECOS PAC ID: 4587007786 Enrollment ID: I20240205002449 |
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