PARAMOUNT WELLNESS COLLABORATIVE INC NPI 1790584308

NPI Information

  • NPI: 1790584308
  • Provider Name: PARAMOUNT WELLNESS COLLABORATIVE, INC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 1629 RACE TRACK RD STE 102
    ST JOHNS, FL
    ZIP 32259
  • Phone: (904) 203-4700

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NPI Details

PARAMOUNT WELLNESS COLLABORATIVE, INC is a mental health (including community mental health center) clinic center in St Johns, FL. PARAMOUNT WELLNESS COLLABORATIVE, INC NPI is 1790584308. The provider is registered as an organization entity type.

The provider's business location address is:

1629 RACE TRACK RD STE 102
ST JOHNS, FL
ZIP 32259-299
Phone: (904) 203-4700

The provider's authorized official is Shanique Ampiah .
The authorized official title is President/founder/owner and has the following contact phone number (561) 312-6698.

The enumeration date for this NPI number is 3/8/2025 and was last updated on 3/8/2025.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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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