ELKS THERAPY NPI 1093341117

NPI Information

NPI: 1093341117
Provider Name: ELKS THERAPY
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2549 DAVIDS RD
VERNON, FL
ZIP 32462
Phone: (570) 810-9505
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ELKS THERAPY is a mental health counselor in Vernon, FL. ELKS THERAPY NPI is 1093341117. The provider is registered as an organization entity type.

The provider's business location address is:

2549 DAVIDS RD
VERNON, FL
ZIP 32462-178
Phone: (570) 810-9505
Fax: (850) 800-9059

The provider's authorized official is Erin Lynn Keip-strausbaugh .
The authorized official title is Owner/clinician and has the following contact phone number (850) 290-7730.

The enumeration date for this NPI number is 3/20/2020 and was last updated on 4/4/2024.

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
1	101YM0800X	Counselor	Mental Health			Yes

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: 5/5/2024

NPI Synchronization or Removal

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