Elite Wellness Mental Health Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ELITE WELLNESS MENTAL HEALTH SERVICES LLC

Practice address

932 E Osceola Pkwy Ste 106
Kissimmee, FL 34744-1615

Phone

(689) 296-7574

NPI assigned

Jan 29, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karla QuijanoNPI 1730750738

Title

President

Phone

(689) 296-7574

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karla Quijano

  • Assistant Behavior Analyst
  • Orlando, FL
  • NPI 1730750738
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1154183671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 E OSCEOLA PKWY STE 106",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 E OSCEOLA PKWY STE 106",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347441615",
            "telephone_number": "689-296-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE WELLNESS MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "QUIJANO",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "689-296-7574"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ihab Ellabban
• Adriana Elliott
• Sherrilee Elliott, APRN

• Community/Behavioral Health Agency in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.