Individual provider · Type 1 NPI

Payten Ellsworth

Mental Health Counselor · St. Petersburg, FL

NPI number 1972371664 Active

Practice location

3840 5th Ave N
St. Petersburg, FL 33713-7521

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1972371664

Payten Ellsworth's National Provider Identifier is 1972371664, issued on Dec 13, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Petersburg, FL. The record was last updated on Dec 13, 2023.