Tolley, Jordan Elice

Tolley, Jordan Elice is an individual health care provider with primary practice located at 651 W Warren Ave Ste 100 , Longwood FL 32750-4036. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Tolley, Jordan Elice can be contacted via phone (321) 999-6405.

Contact Information

Primary practice address
651 W Warren Ave Ste 100 Longwood FL 32750-4036
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1689338501
LBN Legal business name Tolley, Jordan Elice
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2021
Last updated Oct 27th, 2021 - about 3 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.

Request for update

Popular Providers