Ellsworth, Manon
Ellsworth, Manon is an sole proprietor health care provider with primary practice located at 507 W Mcgaughy St , Hamilton MO 64644-1048. She recently has 12 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Ellsworth, Manon can be contacted via phone (303) 214-8054.Contact Information
Primary practice address
507 W Mcgaughy St
Hamilton MO 64644-1048
Phone: (303) 214-8054
Fax:
Website:
Health care specialties
Profile Details
| NPI number | 1487014205 |
|---|---|
| LBN Legal business name | Ellsworth, Manon |
| Credentials | MS, MFT, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 7th, 2016 |
| Last updated | Jan 25th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487014205 | NPPES |
| Missouri | MEDICAID | 1487014205 |
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