Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Rebecca Waller-Ellison, MA

Individual provider Mental Health Counselor · NPI 1083301840

Rebecca Waller-Ellison, MA is a Mental Health Counselor in Lakeland, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

905 S Missouri Ave
Lakeland, FL 33803-1033
Phone: (863) 450-3626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence IMH20732 (FL)

Record details

NPI number1083301840
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorYes
NPI enumeratedApril 21, 2023
Last updated in NPPESApril 21, 2023
Certification dateApril 21, 2023

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