Organization · Type 2 NPI

Avanti Wellness Center Inc

Mental Health Counselor · St. Augustine, FL

NPI number 1861403974 Active

Practice location

165 Southpark Blvd, Suite D
St. Augustine, FL 32086-4101

Fax (904) 824-7598

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Clinical Psychologist 103TC0700XPY7098 (FL)
Clinical Social Worker 1041C0700XSW5151 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1861403974

Avanti Wellness Center Inc's National Provider Identifier is 1861403974, issued on Aug 11, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Augustine, FL. The record was last updated on Sep 11, 2025.