AMY C. ELLIS NPI 1841714458

NPI Information

NPI: 1841714458
Provider Name: AMY C. ELLIS

Doing Business As: AMY C. ELLIS

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
124 E MIRACLE STRIP PKWY STE 602
MARY ESTHER, FL
ZIP 32569
Phone: (850) 243-8529
Get Directions

AMY C. ELLIS is a mental health counselor in Mary Esther, FL. AMY C. ELLIS NPI is 1841714458. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Amy C. Ellis.

The provider's business location address is:

124 E MIRACLE STRIP PKWY STE 602
MARY ESTHER, FL
ZIP 32569-991
Phone: (850) 243-8529
Fax: (850) 243-8529

The provider's authorized official is Amy Ellis .
The authorized official title is Lmhc and has the following contact phone number (850) 243-7035.

The enumeration date for this NPI number is 7/26/2017 and was last updated on 6/16/2018.

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	MH6475	FLORIDA	Yes

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
1	=========	OTHER	FLORIDA	TAX ID:
2	MH6475	OTHER	FLORIDA	STATE LICENSE

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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