Provider Demographics
NPI:1578216800
Name:JONES, ELISA MOTT (LMHC, NCC)
Entity Type:Individual
Prefix:
First Name:ELISA
Middle Name:MOTT
Last Name:JONES
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 HAMPTON PL
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-8129
Mailing Address - Country:US
Mailing Address - Phone:954-531-5795
Mailing Address - Fax:
Practice Address - Street 1:5100 PGA BLVD STE 301
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-3956
Practice Address - Country:US
Practice Address - Phone:954-531-5795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-27
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL18587101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health