Marlene S Ellis is a Mental Health in Fremont, Ohio. Marlene S Ellis practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Marlene S Ellis is 1619008505. The last update date is 2007-07-08.
Marlene S Ellis's current location address is 212 S Park Ave, Fremont, Ohio. You can contact this provider via phone number 4193324722 and fax number 4193348590. The mailing address for Marlene S Ellis is 212 S Park Ave, Fremont, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marlene S Ellis |
|---|---|
| Address | 212 S Park Ave, Fremont, Ohio |
| Phone Number | 4193324722 |
| Fax Number | 4193348590 |
| Sole Proprietor | Y |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1619008505 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 212 S Park Ave |
|---|---|
| City | Fremont |
| State | Ohio (OH) |
| Post Code | 434202954 |
| Phone Number | 4193324722 |
| Fax Number | 4193348590 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | I-0007955 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 372656 | OH | ANTHEM | |
| 5889631 | OH | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Marlene S Ellis by the Centers for Medicare & Medicaid Services?
The Marlene S Ellis has been issued the NPI (National Provider Identifier) 1619008505 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Marlene S Ellis is located?
The Marlene S Ellis is situated at the following address: 212 S Park Ave, Fremont, OH, 434202954.
What is Marlene S Ellis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Marlene S Ellis's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.
When was the Marlene S Ellis's 1619008505 issued?
The Marlene S Ellis's 1619008505 was issued on 2007-03-09.
As of what date were the details related to Marlene S Ellis most recently updated or revised?
The information pertaining to Marlene S Ellis, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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