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

Active since July 26, 2017
124 E MIRACLE STRIP PKWY STE 602, MARY ESTHER, FL 32569(850) 243-8529(850) 243-8529 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 16, 2018, Jul 26, 2017 (2 updates tracked since 2017).

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
Open in Google Maps ↗

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 NPPES 2

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

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
MICHAEL D. GUSACK, MA, LMHC
Counselor (Mental Health)
124 E MIRACLE STRIP PKWY STE 602
MARY ESTHER, FL 32569
Okaloosa County (850) 243-7035

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 Amy C. Ellis's NPI number?

The NPI number for Amy C. Ellis is 1841714458. It was assigned to this organization in the NPPES registry on July 26, 2017.

Where is Amy C. Ellis located?

Amy C. Ellis is located at 124 E Miracle Strip Pkwy Ste 602, Mary Esther, FL 32569. The listed phone number is (850) 243-8529.

What is Amy C. Ellis'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 Amy C. Ellis was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.