Organization
GIBMORE HOLDINGS, LLC
Active
Other names
Ellie Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER SIZEMORE (MGR)
(321) 689-1531
Entity
Organization
Contact information
Practice address
1221 E BROADWAY ST STE 1031, OVIEDO, FL 32765-7829
(407) 602-6236
(407) 636-2938
Mailing address
1140 WOOD DALE CIR, OVIEDO, FL 32765-5169
(321) 689-1531
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
08/22/2023
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