Scott, Ellisa

Scott, Ellisa is an individual health care provider with primary practice located at 203 Se 2Nd Ave , Okeechobee FL 34974-4305. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Scott, Ellisa can be contacted via phone (863) 261-8900.

Contact Information

Primary practice address
203 Se 2Nd Ave Okeechobee FL 34974-4305
Phone: (863) 261-8900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH10761 Florida

Profile Details

NPI number 1790078871
LBN Legal business name Scott, Ellisa
Credentials PHD, LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2011
Last updated Jan 28th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790078871 NPPES
Florida MEDICAID 003835200

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