| Avanti Wellness Center Inc | |
|
165 Southpark Blvd Suite D St Augustine FL 32086-4101 | |
| (904) 824-7597 | |
| (904) 824-7598 |
| Full Name | Avanti Wellness Center Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 165 Southpark Blvd, St Augustine, Florida |
| Authorized Official Name and Position | Kristina Hernandez (ADMINISTRATOR) |
| Authorized Official Contact | 9048247597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avanti Wellness Center Inc 165 Southpark Blvd Suite D St Augustine FL 32086-4101 Ph: (904) 824-7597 | Avanti Wellness Center Inc 165 Southpark Blvd Suite D St Augustine FL 32086-4101 Ph: (904) 824-7597 |
| NPI Number | 1952352189 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 01/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952352189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | HCC7024 (Florida) | Primary |
Melissa Muller Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 248 Southpark Cir E, St Augustine, FL 32086 Phone: 904-797-5680 | |
Logan Sincavage, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 Old Field Ln, St Augustine, FL 32092 Phone: 561-309-4219 | |
Cornerstone Christian Counseling, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 Paseo Reyes Dr, St Augustine, FL 32095 Phone: 904-439-4400 Fax: 303-484-3943 | |
J Greg Dent M D & Associates P L Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Health Park Blvd, St Augustine, FL 32086 Phone: 904-819-4565 Fax: 904-819-4999 | |