| Ellison Mental Health Services Pllc | |
|
530 Oak Ridge Way E West Fargo ND 58078-8417 | |
| (701) 491-2651 | |
| Not Available |
| Full Name | Ellison Mental Health Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 530 Oak Ridge Way E, West Fargo, North Dakota |
| Authorized Official Name and Position | Jo Ellison (OWNER) |
| Authorized Official Contact | 7014912651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellison Mental Health Services Pllc 530 Oak Ridge Way E West Fargo ND 58078-8417 Ph: (701) 491-2651 | Ellison Mental Health Services Pllc 530 Oak Ridge Way E West Fargo ND 58078-8417 Ph: (701) 491-2651 |
| NPI Number | 1821878919 |
|---|---|
| Provider Enumeration Date | 10/05/2023 |
| Last Update Date | 10/05/2023 |
| Certification Date | 10/05/2023 |
| Medicare PECOS PAC ID | 9638515240 |
|---|---|
| Medicare Enrollment ID | O20240306000215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821878919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Jo Ellison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841532942 PECOS PAC ID: 1153631924 Enrollment ID: I20151106000281 |
Red River Human Services Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1689 6th St W, West Fargo, ND 58078 Phone: 701-532-3417 | |
North Dakota Autism Center, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 647 13th Ave E, Ste A, West Fargo, ND 58078 Phone: 701-277-8844 Fax: 701-277-8847 | |
Lotus Counseling Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 Oak Ridge Way E Ste 4, West Fargo, ND 58078 Phone: 701-219-5957 | |
Red River Human Services Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1697 6th St W, West Fargo, ND 58078 Phone: 701-532-3418 | |
30:17 Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1751 Main Ave E, West Fargo, ND 58078 Phone: 701-541-0313 | |
Resilient At Kd Consulting And Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3239 Oak Ridge Loop E Ste 3, West Fargo, ND 58078 Phone: 701-430-9888 | |
Church Of God's Word Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 227 Main Ave W, West Fargo, ND 58078 Phone: 701-639-6240 |