Individual provider · Type 1 NPI

Li Wiesel

Mental Health Clinic/Center (Including Community Mental Health Center) · St. Petersburg, FL

NPI number 1700718202 Active

Practice location

4010 Central Ave
St. Petersburg, FL 33711-1239

Call (727) 900-1326 Map

Fax (727) 256-0039

Mailing address

6306 S Macdill Ave Apt 804
Tampa, FL 33611-5049

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

40 other providers at this address

About NPI 1700718202

Li Wiesel's National Provider Identifier is 1700718202, issued on Jun 1, 2026. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in St. Petersburg, FL. The record was last updated on Jun 1, 2026.