| Ellis Psychiatric Healthcare Llc | |
|
7050 S Highland Dr Ste 210 Cottonwood Heights UT 84121-3762 | |
| (801) 878-4081 | |
| (801) 432-8264 |
| Full Name | Ellis Psychiatric Healthcare Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7050 S Highland Dr Ste 210, Cottonwood Heights, Utah |
| Authorized Official Name and Position | Sam Ellis (OWNER) |
| Authorized Official Contact | 8016647803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis Psychiatric Healthcare Llc 7050 S Highland Dr Ste 210 Cottonwood Heights UT 84121-3762 Ph: (801) 878-4081 | Ellis Psychiatric Healthcare Llc 7050 S Highland Dr Ste 210 Cottonwood Heights UT 84121-3762 Ph: (801) 878-4081 |
| NPI Number | 1134018492 |
|---|---|
| Provider Enumeration Date | 07/01/2025 |
| Last Update Date | 07/01/2025 |
| Certification Date | 07/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134018492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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