Elisa Amaris Niles Thorne, L.M.H.C., N.C.C.
Individual provider Active NPI Mental Health Counselor · North Port, FL
NPI 1972858702 · NPPES record last updated Apr 26, 2023
Key facts
- NPI
- 1972858702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH11000 (FL)
- Practice address
- 2571 N Toledo Blade Blvd Unit 2
North Port, FL 34289-9351 - Phone
- (407) 270-2491
- NPI assigned
- Jul 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH11000 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soundmind Counseling & Consulting Services, LLC. | Mental Health | Current |
Accepting new patients |
Locations
2571 N Toledo Blade Blvd
Unit 2
North Port, FL 34289
Phone (407) 270-2491
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH11000 | FL | Yes |
Addresses
Primary practice location
2571 N Toledo Blade Blvd Unit 2
North Port, FL 34289-9351
Mailing address
2571 N Toledo Blade Blvd Unit 2
North Port, FL 34289-9351
Phone (407) 270-2491
Other names
- Elisa Amaris Niles
Other providers in North Port, FL
- Neo Home Health Care, LLC
- Staci Nesci
- Beverly Newcomb
- Kathleen Louise Newland
- Thu Hang Nguyen
- Taoume Noel
- Victoria Noonan
- North Port Acupuncture Inc
- North Port BH, LLC
- North Port Chiropractic, Inc.
All providers in North Port, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.