Avanti Wellness Center Flllp
LBN: Avanti Wellness Center Flllp
Avanti Wellness Center Flllp is an health care organization with primary practice located at 3574 Us 1 S Suite 113, St Augustine FL 32086-6466. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice, Agencies / Community/Behavioral Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Agencies / Community/Behavioral Health is the primary health care specialty.
Avanti Wellness Center Flllp can be contacted via phone (904) 797-3115, or through Brazer, Randi B via phone (904) 797-3115.
Contact Information
Primary practice address
3574 Us 1 S Suite 113
St Augustine FL 32086-6466
Phone: (904) 797-3115
Fax: (904) 797-2915
Website:
Authorized official contact:
Name: Brazer, Randi B Licensed Clinical Social Worker (LCSW)
Phone: (904) 797-3115
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1215179056 |
|---|---|
| LBN Legal business name | Avanti Wellness Center Flllp |
| DBA Doing business as | |
| Authorized official | Brazer, Randi B Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 25th, 2009 |
| Last updated | May 19th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215179056 | NPPES |
| Florida | MEDICAID | 001136300 |
Popular Providers
-
The Arc Of The St Johns
2101 Arc Dr , St Augustine FL 32084-0512 -
The Behavior Resource Llc
225 Whitland Way , St Augustine FL 32086-5792 -
Olive Tree Maternal Wellness Center Pllc
2465 Us Highway 1 S , St Augustine FL 32086-6076 -
Epic Community Services, Inc
1400 Old Dixie Hwy , St Augustine FL 32084-4190 -
Susan Cardiff-Reed, Lcsw
2692 Us 1 S Suite 110, St Augustine FL 32086-4903 -
Anovus, Inc
805 Pine Park Ln , Saint Augustine FL 32084-6530 -
Greg Wolf
1513 Chatham Ct , St Augustine FL 32092-5050 -
Metro Treatment Of Florida, Lp
3574 Us 1 S Suites 101-104, St Augustine FL 32086-6466