Individual
CARRIE C ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
2350 W YAMATO RD, BOCA RATON, FL 33431
(646) 453-6777
Mailing address
1730 S FEDERAL HWY # 312, DELRAY BEACH, FL 33483-3309
(561) 289-4472
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH19019
FL
101YM0800X
Mental Health Counselor
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Other
Enumeration date
03/10/2020
Last updated
10/20/2023
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