Individual
BRIAN S ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
724 CAPE COD CIR, VALRICO, FL 33594-4382
(813) 712-0610
Mailing address
724 CAPE COD CIR, VALRICO, FL 33594-4382
(813) 712-0610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH25725
FL
Other
Enumeration date
07/14/2025
Last updated
07/18/2025
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