Amy Carol Ellis is a Mental Health in Milton, Florida. Amy Carol Ellis practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Amy Carol Ellis is 1396850988. The last update date is 2007-07-08.
Amy Carol Ellis's current location address is 5091 San Miguel St, Milton, Florida. You can contact this provider via phone number 8502619032 and fax number 8509946958. The mailing address for Amy Carol Ellis is 5091 San Miguel St, Milton, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Carol Ellis |
|---|---|
| Address | 5091 San Miguel St, Milton, Florida |
| Phone Number | 8502619032 |
| Fax Number | 8509946958 |
| Sole Proprietor | Y |
| Credentials | L.M.H.C. |
NPI Number Detail
| NPI Number | 1396850988 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5091 San Miguel St |
|---|---|
| City | Milton |
| State | Florida (FL) |
| Post Code | 325835630 |
| Phone Number | 8502619032 |
| Fax Number | 8509946958 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | MH6475 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identification code issued to Amy Carol Ellis by the Centers for Medicare & Medicaid Services?
The Amy Carol Ellis has been assigned the NPI (National Provider Identifier) 1396850988 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Amy Carol Ellis's physical address?
The Amy Carol Ellis is physically located at 5091 San Miguel St, in the city of Milton, FL, with the postal code 325835630.
What is Amy Carol Ellis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Amy Carol Ellis's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.
On what date did Amy Carol Ellis receive its 1396850988 assignment from the Centers for Medicare & Medicaid Services?
The Amy Carol Ellis was assigned its 1396850988 on 2006-08-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Amy Carol Ellis most recently updated?
The details pertaining to the Amy Carol Ellis, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.