| Mellies Mental Wellness Llc | |
|
619 Court St Clay Center KS 67432-2607 | |
| (785) 630-5500 | |
| (785) 630-5295 |
| Full Name | Mellies Mental Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 619 Court St, Clay Center, Kansas |
| Authorized Official Name and Position | Erin Mellies (CLINICAL THERAPIST/SOLE MEMBER) |
| Authorized Official Contact | 7852307616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mellies Mental Wellness Llc 619 Court St Clay Center KS 67432-2607 Ph: (785) 630-5500 | Mellies Mental Wellness Llc 619 Court St Clay Center KS 67432-2607 Ph: (785) 630-5500 |
| NPI Number | 1750034526 |
|---|---|
| Provider Enumeration Date | 02/01/2022 |
| Last Update Date | 02/01/2022 |
| Certification Date | 02/01/2022 |
| Medicare PECOS PAC ID | 7416300520 |
|---|---|
| Medicare Enrollment ID | O20240125000334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750034526 | NPI | - | NPPES |
| 1972783405 | Other | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Erin Nichole Mellies |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972783405 PECOS PAC ID: 8325491434 Enrollment ID: I20240125000383 |
Tina Stillwell Lscsw, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1611 7th St, Clay Center, KS 67432 Phone: 785-630-5500 Fax: 785-630-5500 |