| The Wellness Collective Boutique | |
|
7901 4th St N Ste 300 St Petersburg FL 33702-4399 | |
| (407) 921-6276 | |
| Not Available |
| Full Name | The Wellness Collective Boutique |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7901 4th St N Ste 300, St Petersburg, Florida |
| Authorized Official Name and Position | Nyesha Logan (CO-OWNER) |
| Authorized Official Contact | 4079216276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Wellness Collective Boutique 5707 Creek Dale Dr Orlando FL 32810-3981 Ph: (407) 921-6276 | The Wellness Collective Boutique 7901 4th St N Ste 300 St Petersburg FL 33702-4399 Ph: (407) 921-6276 |
| NPI Number | 1174400543 |
|---|---|
| Provider Enumeration Date | 08/18/2025 |
| Last Update Date | 08/18/2025 |
| Certification Date | 08/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174400543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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