Organization · Type 2 NPI

Ketamine Holistic Wellness Center, PLLC

Psychiatric/Mental Health Registered Nurse · Satellite Beach, FL

NPI number 1114586138 Active

Practice location

1024 Highway A1A Ste 152
Satellite Beach, FL 32937-2341

Call (321) 777-8040 Map

Fax (321) 821-0212

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808XNone listed

Psychiatric/Mental Health Registered Nurse: Definition to come...

About NPI 1114586138

Ketamine Holistic Wellness Center, PLLC's National Provider Identifier is 1114586138, issued on Jun 12, 2019. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Satellite Beach, FL. The record was last updated on Jun 12, 2019.