| Ellie Mental Health | |
|
50 Depot Rd Falmouth ME 04105-1211 | |
| (207) 835-3616 | |
| Not Available |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Counselor |
| Location | 50 Depot Rd, Falmouth, Maine |
| Authorized Official Name and Position | Richard Arthur Mardoian (OWNER) |
| Authorized Official Contact | 6105045821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 50 Depot Rd Ste 2 Falmouth ME 04105-1211 Ph: (207) 835-3616 | Ellie Mental Health 50 Depot Rd Falmouth ME 04105-1211 Ph: (207) 835-3616 |
| NPI Number | 1033801675 |
|---|---|
| Provider Enumeration Date | 05/23/2023 |
| Last Update Date | 03/01/2024 |
| Certification Date | 03/01/2024 |
| Medicare PECOS PAC ID | 0749630986 |
|---|---|
| Medicare Enrollment ID | O20231229001402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033801675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Michelle Marie Joubert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629218847 PECOS PAC ID: 5294185435 Enrollment ID: I20231229001484 |
| Provider Name | Scott A Heider |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194253385 PECOS PAC ID: 7315322575 Enrollment ID: I20240126003009 |
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