IndividualActive
Dwayne Ellis
NPI 1114527330 · Counselor · Marathon, FL
Provider details
- NPI number
- 1114527330
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3000 41st Street Ocean
Marathon, FL 33050-2373
Phone: (305) 433-0576
Approximate (ZIP-level) locationGet directions
Mailing address
3000 41st Street Ocean
Marathon, FL 33050-2373
Registry dates
- Enumerated
- 2020-10-27
- Last updated
- 2020-10-27
- Certified
- 2020-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.