Michelle Yvette Ellerbe

Individual provider Active NPI Mental Health Counselor · Hamlet, NC

NPI 1780093054 · NPPES record last updated Aug 12, 2014

Key facts

NPI
1780093054
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
181 Gin Mill Rd
Hamlet, NC 28345-7279
Phone
(910) 544-8343
NPI assigned
Aug 12, 2014
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

181 Gin Mill Rd
Hamlet, NC 28345-7279

Mailing address

181 Gin Mill Rd
Hamlet, NC 28345-7279
Phone (910) 544-8343

Other identifiers

IdentifierTypeStateIssuer
463820592MedicaidNC
463820592MedicaidGA
463820592MedicaidSC

Other providers in Hamlet, NC

All providers in Hamlet, NC · Mental Health Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.