Destinasse, Ellan
Destinasse, Ellan is an individual health care provider with primary practice located at 6750 N Andrews Ave Ste 200 , Ft Lauderdale FL 33309-2180. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Destinasse, Ellan can be contacted via phone (954) 258-6017.Contact Information
Primary practice address
6750 N Andrews Ave Ste 200
Ft Lauderdale FL 33309-2180
Phone: (954) 258-6017
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | CBHCM101948 | Florida |
Profile Details
| NPI number | 1750877742 |
|---|---|
| LBN Legal business name | Destinasse, Ellan |
| Credentials | BS, CBHCM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2018 |
| Last updated | Jul 3rd, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750877742 | NPPES |
| Florida | MEDICAID | NA |
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