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Organization
SHUKRANA LLC
Active
Organization
SHUKRANA LLC
Active
Other names
Ellie Mental Health, Ellie Mental Health Ponte Vedra
Organization subpart
No
Provider details
NPI number
Authorized official
ANSH GROVER (COO)
(904) 903-6375
Entity
Organization
Contact information
Practice address
1102 A1A N STE 203, PONTE VEDRA, FL 32082-4098
(904) 903-6375
Mailing address
1102 A1A N STE 203, PONTE VEDRA BEACH, FL 32082-4098
(904) 903-6375
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
06/01/2023
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