ELLEORHIM MENTAL WELLBEING LLC NPI 1013670025

NPI Information

  • NPI: 1013670025
  • Provider Name: ELLEORHIM MENTAL WELLBEING LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Former Legal Business Name: ELLEORHIM MENTAL WELLBEING
  • Address: 6115 STIRLING RD STE 215
    DAVIE, FL
    ZIP 33314
  • Phone: (178) 622-3174

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NPI Details

ELLEORHIM MENTAL WELLBEING LLC is a psychiatric/mental health nurse practitioner in Davie, FL. ELLEORHIM MENTAL WELLBEING LLC NPI is 1013670025. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Elleorhim Mental Wellbeing.

The provider's business location address is:

6115 STIRLING RD STE 215
DAVIE, FL
ZIP 33314-240
Phone: (178) 622-3174
Fax: (786) 930-4046

The provider's authorized official is Marie Carline Oseh .
The authorized official title is Pmhnp and has the following contact phone number (786) 223-1744.

The enumeration date for this NPI number is 10/17/2021 and was last updated on 8/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2363LF0000XNurse PractitionerFamilyNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11417406026MEDICAIDFLORIDA
21417406026OTHERFLORIDA1417406026

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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