| NPI | 1841714458 |
|---|---|
| Doing Business As | AMY C. ELLIS |
| Entity Type | Organization |
| Authorized Contact | AMY ELLIS Lmhc 850-243-7035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH6475) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2018-06-16 |