AMY C. ELLIS - NPI 1841714458 - Counselor in Mary Esther, FL

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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About Amy C. Ellis NPPES

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

AMY C. ELLIS (NPI 1841714458) is a healthcare organization registered as a mental health in Mary Esther, Florida and active in the NPI registry since July 2017. The organization lists Amy Ellis, Lmhc, as its authorized official.

NPPES Registry Identity

NPI1841714458

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameAMY C. ELLIS

Location Address124 E MIRACLE STRIP PKWY STE 602Mary Esther, FL 32569-1991

Mailing Address5170 Annie Ruth StMilton, FL 32570-8153 · (850) 261-9032 · Fax (850) 243-8529

Phone(850) 243-8529

Fax(850) 243-8529

Organization SubpartNo

Authorized OfficialAmy EllisLmhc · (850) 243-7035

Enumeration DateJuly 26, 2017

Last NPPES UpdateJune 16, 20182 updates tracked since enumeration

✔ NPI 1841714458 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 · MH6475

124 E MIRACLE STRIP PKWY STE 602, Mary Esther, FL 32569

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Other Names 1

Doing Business AsAmy C. Ellis

Other Identifiers 1

OtherMH6475FL · State License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location

The following 2 providers are registered at the same or a nearby location.

MICHAEL D. GUSACK, MA, LMHC

Counselor (Mental Health)

124 E MIRACLE STRIP PKWY STE 602
MARY ESTHER, FL 32569

Okaloosa County (850) 243-7035

TRACEY L. NOVAK, ARNP, NP-C

Nurse Practitioner (Psychiatric/Mental Health)

124 E MIRACLE STRIP PKWY STE 602
MARY ESTHER, FL 32569

Okaloosa County (850) 243-7035

Frequently Asked Questions

What is AMY C. ELLIS's NPI number?

The NPI number assigned to this healthcare provider is 1841714458, enumerated as an "organization" on July 26, 2017.

Where is the provider located?

The provider is located at 124 E MIRACLE STRIP PKWY STE 602 MARY ESTHER, FL 32569 and the phone number is (850) 243-8529.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

What insurance does AMY C. ELLIS accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.