Organization · Type 2 NPI

Ellie Pbc2 LLC

Mental Health Counselor · West Palm Beach, FL

NPI number 1700644408 Active

Practice location

8895 N Military Trl Ste 202B
West Palm Beach, FL 33410-6284

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

2 other providers at this address

Danielle R. Duryee, RMHCIMental Health Counselor West Palm Beach, FL NPI 1639927106
Sammy Richman, PhD, LCPClinical Psychologist West Palm Beach, FL NPI 1821673328

Other mental health counselor providers in West Palm Beach

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NPI record

NPI: 1700644408
Entity type: Organization (Type 2)
Issued: Mar 8, 2024
Last updated: Aug 6, 2026
Status: Active

Other names

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Ellie Mental Health - Palm Beach Gardens · doing business as
Ellie Mental Health - Palm Beach Gardens · doing business as

Authorized official

Mr. Haaris Ali
Owner
(630) 205-4664

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1700644408

Ellie Pbc2 LLC's National Provider Identifier is 1700644408, issued on Mar 8, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Palm Beach, FL. The record was last updated on Aug 6, 2026.