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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 14663 Colorado
Behavioral Health & Social Service Providers / Clinical 103TC0700X 14663 Colorado
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Counseling 103TC1900X 14663 Colorado
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 14663 Colorado
Behavioral Health & Social Service Providers / Family 103TF0000X 14663 Colorado
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X

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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487014205 NPPES
Missouri MEDICAID 1487014205

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