Provider Demographics
NPI:1851485593
Name:PAPANIKOLAOU, ELLEN (LCMHC)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:
Last Name:PAPANIKOLAOU
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1361 ELM STREET
Mailing Address - Street 2:SUITE #400
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101
Mailing Address - Country:US
Mailing Address - Phone:603-232-6987
Mailing Address - Fax:603-935-9056
Practice Address - Street 1:1361 ELM ST
Practice Address - Street 2:SUITE #400
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1324
Practice Address - Country:US
Practice Address - Phone:603-232-6987
Practice Address - Fax:603-935-9056
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH645101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH2200521OtherCIGNA
NH30426170Medicaid
515322152OtherHARVARD PILGRIM UBH
9040163OtherAETNA
NH7706660Y0NH01OtherBLUE CROSS