Provider Demographics
NPI:1114453834
Name:ELITE-E COUNSELING
Entity Type:Organization
Organization Name:ELITE-E COUNSELING
Other - Org Name:CLARITY HEALTH SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:D
Authorized Official - Last Name:HOSKINS-TOMKO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:561-781-3333
Mailing Address - Street 1:2055 MILITARY TRAIL SUITE 306 JUPITER
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458
Mailing Address - Country:US
Mailing Address - Phone:561-781-3333
Mailing Address - Fax:561-768-9161
Practice Address - Street 1:2055 MILITARY TRAIL SUITE 306 JUPITER
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458
Practice Address - Country:US
Practice Address - Phone:561-781-3333
Practice Address - Fax:561-768-9161
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELITE-E COUNSELING LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-02
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X, 1041C0700X, 2084P0805X
FLSW12235251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty