NICOLE ELLIS M.A. NPI 1053633669

NPI Information

  • NPI: 1053633669
  • Provider Name: NICOLE ELLIS, M.A.
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1951 ALAMANDA CT
    NAVARRE, FL
    ZIP 32566
  • Phone: (850) 377-7004

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NPI Details

Nicole Ellis, M.A. is a mental health counselor in Navarre, FL. Nicole Ellis, M.A. NPI is 1053633669. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1951 ALAMANDA CT
NAVARRE, FL
ZIP 32566-658
Phone: (850) 377-7004

The enumeration date for this NPI number is 2/23/2010 and was last updated on 2/23/2010.

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
1101YM0800XCounselorMental HealthIMH6310FLORIDAYes

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: 11/21/2025

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