Healthcare Provider Details

I. General information

NPI: 1669389037
Provider Name (Legal Business Name): ELPIS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 JULIA ST
NEW SMYRNA BEACH FL
32168-7713
US

IV. Provider business mailing address

1340 DEER PATH DR
OSTEEN FL
32764-9824
US

V. Phone/Fax

Practice location:
  • Phone: 386-423-9161
  • Fax:
Mailing address:
  • Phone: 407-474-8992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. POTOULA DIAZ
Title or Position: CEO
Credential: LMHC, LMFT, CAP
Phone: 407-474-8992