ELLIE PBC LLC NPI 1942081872

NPI Information

  • NPI: 1942081872
  • Provider Name: ELLIE PBC LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Doing Business As: ELLIE MENTAL HEALTH - LAKE WORTH FLORIDA
  • Address: 2290 10TH AVE N STE 601
    LAKE WORTH, FL
    ZIP 33461
  • Phone: (917) 855-2799

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NPI Details

ELLIE PBC LLC is a mental health counselor in Lake Worth, FL. ELLIE PBC LLC NPI is 1942081872. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ellie Mental Health - Lake Worth Florida.

The provider's business location address is:

2290 10TH AVE N STE 601
LAKE WORTH, FL
ZIP 33461-618
Phone: (917) 855-2799

The provider's authorized official is Gregg Melnick .
The authorized official title is Owner and has the following contact phone number (917) 855-2799.

The enumeration date for this NPI number is 10/6/2023 and was last updated on 10/14/2023.

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 HealthYes

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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