| Ellie Mental Health-west Virginia | |
|
1206 Suncrest Town Centre Dr Morgantown WV 26505-1828 | |
| (724) 554-7759 | |
| Not Available |
| Full Name | Ellie Mental Health-west Virginia |
|---|---|
| Speciality | Social Worker |
| Location | 1206 Suncrest Town Centre Dr, Morgantown, West Virginia |
| Authorized Official Name and Position | Thomas Michael Palko (OWNER) |
| Authorized Official Contact | 7245547759 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health-west Virginia 1774 Jefferson Rd Jefferson PA 15344-4157 Ph: (724) 554-7759 | Ellie Mental Health-west Virginia 1206 Suncrest Town Centre Dr Morgantown WV 26505-1828 Ph: (724) 554-7759 |
| NPI Number | 1235910159 |
|---|---|
| Provider Enumeration Date | 10/06/2023 |
| Last Update Date | 11/02/2023 |
| Certification Date | 11/02/2023 |
| Medicare PECOS PAC ID | 3870944234 |
|---|---|
| Medicare Enrollment ID | O20240110001450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235910159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Christa J Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174758544 PECOS PAC ID: 7113291659 Enrollment ID: I20170922000263 |
| Provider Name | Stacey Lee Henline |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285279679 PECOS PAC ID: 6002269701 Enrollment ID: I20240130000812 |
Soulmosaic, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Scott Ave Ste 4, Morgantown, WV 26508 Phone: 304-685-8967 | |
West Virginia University Hospitals, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3600 Collins Ferry Rd, Morgantown, WV 26505 Phone: 304-598-6429 | |
Noah Medical Wellness Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1400 Saratoga Ave, Morgantown, WV 26505 Phone: 304-599-1680 | |
Winding Way Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Park Ridge Dr, Morgantown, WV 26508 Phone: 304-692-1131 | |
West Virginia University Medical Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 855-988-2273 | |
Monongalia County Child Advocacy Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 Greenbag Rd, Morgantown, WV 26508 Phone: 304-598-0344 Fax: 304-598-0558 | |
Leah Mcintire, Ma, Lpc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Greenbag Rd, Suite M4, Morgantown, WV 26501 Phone: 304-241-4123 Fax: 304-381-4447 |