HER TABLE COLLECTIVE THERAPY & WELLNESS LLC is a mental health counselor in Southport, FL. HER TABLE COLLECTIVE THERAPY & WELLNESS LLC NPI is 1689471013. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
7314 MARY JO AVE SOUTHPORT, FL ZIP 32409-162 Phone: (850) 565-9028
The provider's authorized official is Holly Chancey . The authorized official title is Owner and has the following contact phone number (850) 565-9028.
The enumeration date for this NPI number is 2/25/2025 and was last updated on 2/25/2025.
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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