| Ellie Mental Health | |
|
24803 Detroit Rd Unit E Westlake OH 44145-2553 | |
| (216) 533-9677 | |
| Not Available |
| Full Name | Ellie Mental Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 24803 Detroit Rd Unit E, Westlake, Ohio |
| Authorized Official Name and Position | Mark Ramunno (OWNER) |
| Authorized Official Contact | 2165339677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Mental Health 4591 W Point Dr Fairview Park OH 44126-2834 Ph: () - | Ellie Mental Health 24803 Detroit Rd Unit E Westlake OH 44145-2553 Ph: (216) 533-9677 |
| NPI Number | 1063148922 |
|---|---|
| Provider Enumeration Date | 07/25/2022 |
| Last Update Date | 03/31/2023 |
| Certification Date | 03/22/2023 |
| Medicare PECOS PAC ID | 8325413842 |
|---|---|
| Medicare Enrollment ID | O20230413002034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063148922 | NPI | - | NPPES |
| Provider Name | Laura Artino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306262845 PECOS PAC ID: 5799908711 Enrollment ID: I20140520002568 |
| Provider Name | Tara M Pierce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467153189 PECOS PAC ID: 2365817889 Enrollment ID: I20230413002271 |
| Provider Name | Lauren Michelle Mcgowan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780025023 PECOS PAC ID: 2860867389 Enrollment ID: I20240111002786 |
| Provider Name | Jordin A Maria |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811487523 PECOS PAC ID: 4981047222 Enrollment ID: I20240203000402 |
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