| Ellie Mental Health Pittsburgh Management | |
|
4001 Stonewood Dr Ste 110 Wexford PA 15090-8398 | |
| (724) 747-1690 | |
| Not Available |
| Full Name | Ellie Mental Health Pittsburgh Management |
|---|---|
| Speciality | Counselor |
| Location | 4001 Stonewood Dr Ste 110, Wexford, Pennsylvania |
| Authorized Official Name and Position | Ryan Leckie (OWNER) |
| Authorized Official Contact | 7247471690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health Pittsburgh Management 3725 Butler St Apt 306 Pittsburgh PA 15201-1895 Ph: (724) 747-1690 | Ellie Mental Health Pittsburgh Management 4001 Stonewood Dr Ste 110 Wexford PA 15090-8398 Ph: (724) 747-1690 |
| NPI Number | 1063101145 |
|---|---|
| Provider Enumeration Date | 05/03/2023 |
| Last Update Date | 09/20/2023 |
| Certification Date | 09/20/2023 |
| Medicare PECOS PAC ID | 6002262128 |
|---|---|
| Medicare Enrollment ID | O20231026000758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063101145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Daria F Durny |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407164031 PECOS PAC ID: 8123207214 Enrollment ID: I20110121000007 |
| Provider Name | Sarah Ann Woodward |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275977829 PECOS PAC ID: 1153772645 Enrollment ID: I20240109003243 |
| Provider Name | Therese Marie Sanderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467228387 PECOS PAC ID: 6305297813 Enrollment ID: I20240109003954 |
| Provider Name | Andrea Spevetz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083231054 PECOS PAC ID: 9234580549 Enrollment ID: I20240111001776 |
| Provider Name | Kristina Grimm |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417681735 PECOS PAC ID: 9335591262 Enrollment ID: I20240117000238 |
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