Provider Demographics
NPI:1649043035
Name:SCELTA-NEFF, EMILY (RMHCI)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:SCELTA-NEFF
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4350 SW LAGRANGE ST
Mailing Address - Street 2:
Mailing Address - City:PORT SAINT LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34953-6857
Mailing Address - Country:US
Mailing Address - Phone:201-407-7490
Mailing Address - Fax:
Practice Address - Street 1:10 SE CENTRAL PKWY STE 100
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-5914
Practice Address - Country:US
Practice Address - Phone:772-303-1987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL24902101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health