institution
Amy C. Ellis
Mental Health Counselor in Mary Esther, Florida
NPI 1841714458

Amy C. Ellis is a Mental Health Counselor based in Milton, FL and is specialized in Mental Health. Amy C. Ellis practices in Mary Esther, FL. The NPI Number for Amy C. Ellis is 1841714458 and holds a License No. MH6475 (Florida).

The current practice location address for Amy C. Ellis is 124 E Miracle Strip Pkwy Ste 602, Mary Esther, FL and can be reached out via phone at 850-243-8529 and via fax at 850-243-8529.

Location: 124 E Miracle Strip Pkwy Ste 602, Mary Esther, FL, 32570-8153
institution
Provider Profile Details
NPI Number
1841714458
Provider Name
Amy C. Ellis
Credential
Provider Entity Type
Organization
Address
124 E Miracle Strip Pkwy Ste 602, Mary Esther, FL, 32570-8153
Phone Number
850-243-8529
Fax Number
850-243-8529
Provider Enumeration Date
07/26/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH6475 01 FL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
124 E Miracle Strip Pkwy Ste 602
City
State
Zip
32569-1991
Phone Number
850-243-8529
Fax Number
850-243-8529
person
Provider Business Mailing Address Details
Address
124 E Miracle Strip Pkwy Ste 602
City
State
Zip
32569-1991
Phone Number
850-243-8529
Fax Number
850-243-8529
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH6475 (Florida)
Definition
Definition to come...
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