Healthcare Provider Details

I. General information

NPI: 1558265546
Provider Name (Legal Business Name): IKHANIC COUNSELING AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9960 PINEAPPLE TREE DR APT 105
BOYNTON BEACH FL
33436-8067
US

IV. Provider business mailing address

507 BAKER DR
WEST PALM BEACH FL
33409-3809
US

V. Phone/Fax

Practice location:
  • Phone: 561-818-7753
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: VANNESSA KHANNI
Title or Position: OWNER
Credential: LMHC
Phone: 561-818-7753