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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MANGROVE WELLNESS CENTER,INC

Active Organization

MANGROVE WELLNESS CENTER,INC is a Mental Health Counselor organization located in VENICE, Florida. NPI 1285987453 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · VENICE, FL

Registration Details

NPI Number
1285987453
Provider Type
Organization
NPI Issued
Oct 24, 2012 (13.781818057132 yrs)
Last Updated
Oct 13, 2014
Licenses
MH12785 (FL)
PY5867 (FL)
PY5867 (FL)
MH12785 (FL)

Practice Information

Address
1515 TAMIAMI TRAIL S.
SUITE 2
VENICE, FL, 34285
Browse FL providers · Browse ZIP 34285
Phone
9418225620
Fax
8552390365
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Professional Counselor
Additional Specialty
Clinical Psychologist
Additional Specialty
Mental Health Counselor
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.