Individual
BLAYNE SIENNA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
103 N ORANGE ST UNIT E, NEW SMYRNA BEACH, FL 32168-7027
(386) 222-1150
Mailing address
91 ELMHURST LN, ST AUGUSTINE, FL 32084-0090
(386) 478-9186
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH23212
FL
Other
Enumeration date
02/01/2024
Last updated
11/01/2025
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