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
—
—
Other
Enumeration date
02/09/2023
Last updated
06/01/2023
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