Organization · Type 2 NPI
Fluid Prodigy LLC
Mental Health Counselor · Dover, FL
NPI number
1114887130
Active
Practice location
206 Archcliffe Point Pl.
Dover, FL 33527
Mailing address
3433 Lithia Pinecrest Rd Ste 337
Valrico, FL 33596-6302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1114887130
Fluid Prodigy LLC's National Provider Identifier is 1114887130, issued on Nov 12, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dover, FL. The record was last updated on Jan 20, 2026.