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Organization
SYNERGY WELLNESS OF FLORIDA INC.
Active
Organization
SYNERGY WELLNESS OF FLORIDA INC.
Active
Other names
Ellie Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
HAARIS ALI (OWNER)
(630) 205-4664
Entity
Organization
Contact information
Practice address
9050 PINES BLVD STE 305, PEMBROKE PINES, FL 33024-6422
(630) 205-4664
Mailing address
8129 NW 106TH LN, PARKLAND, FL 33076-4748
(630) 205-4664
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/05/2022
Last updated
10/19/2023
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