KETAMINE HOLISTIC WELLNESS CENTER, PLLC is a psychiatric/mental health registered nurse in Satellite Beach, FL. KETAMINE HOLISTIC WELLNESS CENTER, PLLC NPI is 1114586138. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1024 HIGHWAY A1A STE 152 SATELLITE BEACH, FL ZIP 32937-341 Phone: (321) 777-8040 Fax: (321) 821-0212
The provider's authorized official is Kymberly Tesh Pierce-dew . The authorized official title is Billing Manager and has the following contact phone number (941) 720-5448.
The enumeration date for this NPI number is 6/12/2019 and was last updated on 6/12/2019.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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