Provider Demographics
NPI:1265053698
Name:ELEDHEL PSYCHOLOGY
Entity type:Organization
Organization Name:ELEDHEL PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCELROY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:813-361-9492
Mailing Address - Street 1:611 W BAY ST STE 1H
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2703
Mailing Address - Country:US
Mailing Address - Phone:813-361-9492
Mailing Address - Fax:
Practice Address - Street 1:611 W BAY ST STE 1H
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-2703
Practice Address - Country:US
Practice Address - Phone:813-361-9492
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELEDHEL CONSULTING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-27
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)