Provider Demographics
NPI:1588348494
Name:ELIE, ANNE PASCALE (LMHC)
Entity type:Individual
Prefix:
First Name:ANNE PASCALE
Middle Name:
Last Name:ELIE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19091 PORTO NUEVO DR UNIT 305
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33967-5890
Mailing Address - Country:US
Mailing Address - Phone:305-588-2053
Mailing Address - Fax:
Practice Address - Street 1:3785 AIRPORT RD N UNIT 4
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34105-4518
Practice Address - Country:US
Practice Address - Phone:239-429-0878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-12
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH22347101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health