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REBECCA WALLER-ELLISON MA
NPI 1083301840
Counselor - Mental Health in Lakeland, FL

Active since April 21, 2023
905 S MISSOURI AVE, LAKELAND, FL 33803(863) 450-3626 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rebecca Waller-ellison Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REBECCA WALLER-ELLISON MA (NPI 1083301840) is an individual mental health provider in Lakeland, Florida, licensed in Florida (IMH20732) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1083301840
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameREBECCA WALLER-ELLISONCredential: MA
Location Address905 S MISSOURI AVELakeland, FL 33803-1033
Mailing Address1119 Sugartree Dr SLakeland, FL 33813-1867 · (863) 640-3220
Phone(863) 450-3626
Sole ProprietorYes
Enumeration DateApril 21, 2023
NPPES CertifiedApril 21, 2023
✔ NPI 1083301840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · IMH20732
905 S MISSOURI AVE, Lakeland, FL 33803
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER MCLAUGHLIN
Counselor (Mental Health)
905 S MISSOURI AVE
LAKELAND, FL 33803
Polk County (863) 450-3626
SYDNEY PEREZ LMHC
Counselor (Mental Health)
905 S MISSOURI AVE
LAKELAND, FL 33803
Polk County (863) 450-3626
ARACELI GAUNA-SCATTOLINI LMHC
Counselor (Mental Health)
905 S MISSOURI AVE
LAKELAND, FL 33803
Polk County (863) 450-3626
CHARITY GARCIA CORREA RCSWI
Counselor (Mental Health)
905 S MISSOURI AVE
LAKELAND, FL 33803
Polk County (863) 450-3626
HEALING COUNSELING SOLUTIONS LLC
Counselor (Mental Health)
905 S MISSOURI AVE
LAKELAND, FL 33803
Polk County (863) 288-1772
ETHAN ASHER RUPPERT
Counselor (Mental Health)
905 S MISSOURI AVE
LAKELAND, FL 33803
Polk County (863) 331-9993
WILLOWS PATH COUNSELING
Clinic/Center (Mental Health (Including Community Mental Health Center))
905 S MISSOURI AVE
LAKELAND, FL 33803
Polk County (813) 501-7247
ATALA COUNSELING, PLLC
Counselor (Mental Health)
905 S MISSOURI AVE
LAKELAND, FL 33803
Polk County (863) 450-3626

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rebecca Waller-ellison's NPI number?

The NPI number for Rebecca Waller-ellison is 1083301840. It was assigned to this individual provider in the NPPES registry on April 21, 2023.

Where is Rebecca Waller-ellison located?

Rebecca Waller-ellison practices at 905 S Missouri Ave, Lakeland, FL 33803. The listed phone number is (863) 450-3626.

What is Rebecca Waller-ellison's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Rebecca Waller-ellison was last updated on April 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.