Ellie Mental Health Of Estero
Counselor, Mental Health in Estero, FL. Organization (NPI-2).
NPI number1851029243
StatusActive
Last updated in NPPESJan 5, 2026
Details
- NPI
- 1851029243
- Entity type
- Organization (NPI-2)
- Legal business name
- Ellie Mental Health Of Estero
- Organization subpart
- No
- Enumeration date
- Aug 12, 2022
- Certification date
- Jan 5, 2026
- Last updated
- Jan 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
22904 Lyden Dr Ste 104Estero, FL 33928-7048
Phone 908-432-4636
Mailing address
22904 Lyden Dr Unit 104Estero, FL 33928-7048
Phone 908-432-4636
Authorized official
Marcus Silva
Managing Member
9084324636
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