WHITAKER WELLNESS SPA LLC NPI 1528757176

NPI Information

  • NPI: 1528757176
  • Provider Name: WHITAKER WELLNESS SPA, LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 8624 RIBBON FALLS LN
    JACKSONVILLE, FL
    ZIP 32244
  • Phone: (904) 576-6868

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NPI Details

WHITAKER WELLNESS SPA, LLC is a mental health counselor in Jacksonville, FL. WHITAKER WELLNESS SPA, LLC NPI is 1528757176. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8624 RIBBON FALLS LN
JACKSONVILLE, FL
ZIP 32244-990
Phone: (904) 576-6868

The provider's authorized official is Shantell Whitaker .
The authorized official title is Owner/employee and has the following contact phone number (904) 576-6868.

The enumeration date for this NPI number is 5/1/2023 and was last updated on 12/7/2025.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistNo
2101YP1600XCounselorPastoralNo
3101YS0200XCounselorSchoolNo
4101YM0800XCounselorMental HealthYes

What is NPI?

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

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