Gibmore Holdings, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GIBMORE HOLDINGS, LLC

Doing business as

Ellie Mental Health

Practice address

1221 E Broadway St Ste 1031
Oviedo, FL 32765-7829

Phone

(407) 602-6236

Fax

(407) 636-2938

NPI assigned

Aug 21, 2023

Organization subpart

No

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

Authorized official

Name

Heather Sizemore

Title

MGR

Phone

(321) 689-1531

Specialties & licenses 1

Addresses

Other names 1

• Ellie Mental Health Doing business as

Locations

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1982488078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 WOOD DALE CIR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655169",
            "telephone_number": "321-689-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 E BROADWAY ST STE 1031",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657829",
            "telephone_number": "407-602-6236",
            "fax_number": "407-636-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBMORE HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "SIZEMORE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "321-689-1531"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Getter Enterprises
• Getter Enterprises, Inc
• Vickie L Getter, CERTIFIED PEDORTHIST
• Adam Mounir Ghadban
• Kristen Jean Giambruno
• Francine Maria Gibson
• Gary Randall Gibson, DMD
• Jani Gilly
• Lindsey Love Gilson, ARNP
• Matthew Giorgi, PHARMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.