MIND BODY WELLNESS GROUP LLC NPI 1750862017

NPI Information

  • NPI: 1750862017
  • Provider Name: MIND BODY WELLNESS GROUP LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Doing Business As: MIND BODY WELLNESS GROUP LLC
  • Address: 735 ARLINGTON AVE N STE 205
    ST PETERSBURG, FL
    ZIP 33701
  • Phone: (727) 310-5520

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NPI Details

MIND BODY WELLNESS GROUP LLC is a mental health counselor in St Petersburg, FL. MIND BODY WELLNESS GROUP LLC NPI is 1750862017. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mind Body Wellness Group Llc.

The provider's business location address is:

735 ARLINGTON AVE N STE 205
ST PETERSBURG, FL
ZIP 33701-653
Phone: (727) 310-5520

The provider's authorized official is John Wallace Stone .
The authorized official title is Authorized Manager and has the following contact phone number (727) 310-5520.

The enumeration date for this NPI number is 8/24/2018 and was last updated on 8/24/2018.

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
1101YM0800XCounselorMental HealthSW14906FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11629433636OTHERFLORIDANPI

What is NPI?

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This page was last updated on: 11/21/2025

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