| Ellie Mental Health | |
|
8700 E Via De Ventura Ste 280 Scottsdale AZ 85258-4541 | |
| (480) 210-7266 | |
| Not Available |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 8700 E Via De Ventura Ste 280, Scottsdale, Arizona |
| Authorized Official Name and Position | Filipe Coelho (MEMBER) |
| Authorized Official Contact | 2032403461 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 8700 E Via De Ventura Ste 280 Scottsdale AZ 85258-4541 Ph: (480) 210-7266 | Ellie Mental Health 8700 E Via De Ventura Ste 280 Scottsdale AZ 85258-4541 Ph: (480) 210-7266 |
| NPI Number | 1346982782 |
|---|---|
| Provider Enumeration Date | 04/07/2022 |
| Last Update Date | 01/15/2024 |
| Certification Date | 01/15/2024 |
| Medicare PECOS PAC ID | 2961872205 |
|---|---|
| Medicare Enrollment ID | O20230103002289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346982782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Katherine M Crowley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215990262 PECOS PAC ID: 8820009210 Enrollment ID: I20060524000050 |
| Provider Name | Demarie A Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477191880 PECOS PAC ID: 0042670200 Enrollment ID: I20230719002370 |
| Provider Name | Desiree Diaz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851870612 PECOS PAC ID: 6800244195 Enrollment ID: I20231127003382 |
| Provider Name | Natalie J Andersen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346412954 PECOS PAC ID: 1658720958 Enrollment ID: I20231212002852 |
| Provider Name | Rachael Miles |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1093173494 PECOS PAC ID: 7315317658 Enrollment ID: I20240102000258 |
| Provider Name | Kai M Kline |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831762244 PECOS PAC ID: 1052762697 Enrollment ID: I20240109001029 |
| Provider Name | Jacqueline E Nash |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659019933 PECOS PAC ID: 7618329533 Enrollment ID: I20240116004530 |
| Provider Name | Carolyn Christine Dolejs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558987735 PECOS PAC ID: 0941653877 Enrollment ID: I20240126003903 |
| Provider Name | Fiorella Marquez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174933568 PECOS PAC ID: 2163867201 Enrollment ID: I20240228004632 |
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