PRESTIGE HEALTH & WELLNESS LLC NPI 1811650831

NPI Information

NPI: 1811650831
Provider Name: PRESTIGE HEALTH & WELLNESS, LLC

Doing Business As: PRESTIGE HEALTH & WELLNESS

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1418 BLOOMINGDALE AVE
VALRICO, FL
ZIP 33596
Phone: (181) 325-2017
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PRESTIGE HEALTH & WELLNESS, LLC is a mental health (including community mental health center) clinic center in Valrico, FL. PRESTIGE HEALTH & WELLNESS, LLC NPI is 1811650831. The provider is registered as an organization entity type.
The provider Is Doing Business As Prestige Health & Wellness.

The provider's business location address is:

1418 BLOOMINGDALE AVE
VALRICO, FL
ZIP 33596-110
Phone: (181) 325-2017

The provider's authorized official is Louisana Louis .
The authorized official title is Owner and has the following contact phone number (813) 967-7075.

The CLIA number assigned to this NPI record is 10D2268347 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2021 and was last updated on 1/24/2024.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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
1	APRN11016727	OTHER	FLORIDA	FLORIDA APRN LICENSE

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: 5/5/2024

NPI Synchronization or Removal

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