Provider Demographics
NPI:1538827514
Name:SCHILLO, ELIZABETH CATHERINE (ADC-MN, RMHCI-FL)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:CATHERINE
Last Name:SCHILLO
Suffix:
Gender:F
Credentials:ADC-MN, RMHCI-FL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1581 MORGAN CT
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32934-9084
Mailing Address - Country:US
Mailing Address - Phone:502-385-1106
Mailing Address - Fax:
Practice Address - Street 1:1581 MORGAN CT
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32934-9084
Practice Address - Country:US
Practice Address - Phone:502-385-1106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-07
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8179101YA0400X
FLIMH21457101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)