Individual
MR. ELLIS HULSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2401 W BAY DR, STE 117, LARGO, FL 33770-4902
(516) 840-2468
Mailing address
3937 MORNINGSIDE CT, 93, PALM HARBOR, FL 34684-4345
(516) 840-2468
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
079962
NY
1041C0700X
Clinical Social Worker
Primary
SW12065
FL
Other
Enumeration date
01/30/2008
Last updated
12/21/2020
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