Healthcare Provider Details

I. General information

NPI: 1649197682
Provider Name (Legal Business Name): KONSULTRX PSYCHIATRY AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14803 INDIGO LAKES CIR
NAPLES FL
34119-4813
US

IV. Provider business mailing address

14803 INDIGO LAKES CIR
NAPLES FL
34119-4813
US

V. Phone/Fax

Practice location:
  • Phone: 817-851-7349
  • Fax:
Mailing address:
  • Phone: 817-851-7349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KRISSY NICHOLE ENGLISH
Title or Position: OWNER
Credential: DNP
Phone: 817-851-7349