Search › Florida › 1041C0700X
Ellie Henriquez, LCSW
NPI 1730068172 · on the registry since 2025
Practice
- Address
- 702 Russell Blvd
Fort Walton Beach, FL 32547 - Phone
- (850) 261-5374
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-08-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida