| Paramount Wellness Collaborative, Inc | |
|
1629 Race Track Rd Ste 102 St Johns FL 32259-6299 | |
| (904) 203-4700 | |
| Not Available |
| Full Name | Paramount Wellness Collaborative, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1629 Race Track Rd Ste 102, St Johns, Florida |
| Authorized Official Name and Position | Shanique Ampiah (PRESIDENT/FOUNDER/OWNER) |
| Authorized Official Contact | 5613126698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paramount Wellness Collaborative, Inc 7901 4th St N Ste 300 St Petersburg FL 33702-4399 Ph: (904) 203-4700 | Paramount Wellness Collaborative, Inc 1629 Race Track Rd Ste 102 St Johns FL 32259-6299 Ph: (904) 203-4700 |
| NPI Number | 1790584308 |
|---|---|
| Provider Enumeration Date | 03/08/2025 |
| Last Update Date | 03/08/2025 |
| Certification Date | 03/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790584308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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