Ellicott Clinkscale, Dawn Elaine

Ellicott Clinkscale, Dawn Elaine is an individual health care provider with primary practice located at 4700 N State Road 7 , Lauderdale Lakes FL 33319-5800. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ellicott Clinkscale, Dawn Elaine can be contacted via phone (954) 634-8096.

Contact Information

Primary practice address
4700 N State Road 7 Lauderdale Lakes FL 33319-5800
Phone: (954) 634-8096
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MT3549 Florida
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFTMFT00221521 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X MT3549 Florida

Profile Details

NPI number 1629447966
LBN Legal business name Ellicott Clinkscale, Dawn Elaine
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2015
Last updated Apr 8th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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