Provider Demographics
NPI:1912893736
Name:NELMEUS, CHRISLIE
Entity type:Individual
Prefix:
First Name:CHRISLIE
Middle Name:
Last Name:NELMEUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2139 RIVERTREE CIR FL 32839USA
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-8252
Mailing Address - Country:US
Mailing Address - Phone:857-243-7710
Mailing Address - Fax:
Practice Address - Street 1:6881 KINGSPOINTE PKWY STE 18
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-6535
Practice Address - Country:US
Practice Address - Phone:888-900-7799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-433541106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician