ELLIE PBC LLC NPI 1942081872

NPI Information

NPI: 1942081872
Provider Name: ELLIE PBC LLC

Doing Business As: ELLIE MENTAL HEALTH - LAKE WORTH FLORIDA

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

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