person
Elisa Amaris Niles Thorne, LMHC,NCC
Mental Health Counselor in North Port, Florida
NPI 1972858702

Elisa Amaris Niles Thorne is a Mental Health Counselor based in North Port, FL and is specialized in Mental Health. Elisa Amaris Niles Thorne practices in North Port, FL and has the professional credentials of LMHC,NCC. The NPI Number for Elisa Amaris Niles Thorne is 1972858702 and holds a License No. MH11000 (Florida).

The current practice location address for Elisa Amaris Niles Thorne is 2571 N Toledo Blade Blvd Unit 2, North Port, FL and can be reached out via phone at 407-270-2491.

Location: 2571 N Toledo Blade Blvd Unit 2, North Port, FL, 34289-9351
person
Provider Profile Details
NPI Number
1972858702
Provider Name
Elisa Amaris Niles Thorne
Credential
LMHC,NCC
Provider Entity Type
Individual
Gender
Female
Address
2571 N Toledo Blade Blvd Unit 2, North Port, FL, 34289-9351
Phone Number
407-270-2491
Fax Number
Provider Enumeration Date
07/18/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2571 N Toledo Blade Blvd Unit 2
City
State
Zip
34289-9351
Phone Number
407-270-2491
Fax Number
person
Provider Business Mailing Address Details
Address
2571 N Toledo Blade Blvd Unit 2
City
State
Zip
34289-9351
Phone Number
407-270-2491
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH11000 (Florida)
Definition
Definition to come...
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