Individual
ALICE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8132 KING HELIE BLVD, NEW PORT RICHEY, FL 34653-1435
(727) 834-3959
Mailing address
1334 RIVERSIDE DR, TARPON SPRINGS, FL 34689-2020
(513) 280-1636
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH12562
FL
Other
Enumeration date
05/21/2014
Last updated
10/07/2014
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