Provider Demographics
NPI:1497539381
Name:ELLIE MENTAL HEALTH FLORIDA LLC
Entity Type:Organization
Organization Name:ELLIE MENTAL HEALTH FLORIDA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:HALEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HELBIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-714-7587
Mailing Address - Street 1:2653 BRUCE B DOWNS BLVD UNIT 108-141
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-9206
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3636 GALILEO DRIVE
Practice Address - Street 2:SUITE 101 AND 102
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655
Practice Address - Country:US
Practice Address - Phone:813-714-7587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty