THE WELLNESS COLLECTIVE BOUTIQUE NPI 1174400543

NPI Details

THE WELLNESS COLLECTIVE BOUTIQUE is a clinical social worker in St Petersburg, FL. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. THE WELLNESS COLLECTIVE BOUTIQUE NPI is 1174400543. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7901 4TH ST N STE 300
ST PETERSBURG, FL
ZIP 33702-399
Phone: (407) 921-6276

The provider's authorized official is Nyesha Logan .
The authorized official title is Co-owner and has the following contact phone number (407) 921-6276.

The enumeration date for this NPI number is 8/18/2025 and was last updated on 8/18/2025.

Taxonomy Codes

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: