Healthcare Provider Details

I. General information

NPI: 1073392064
Provider Name (Legal Business Name): VIE WELLNESS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2023
Last Update Date: 02/15/2026
Certification Date: 02/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9720 N ARMENIA AVE
TAMPA FL
33612-7506
US

IV. Provider business mailing address

9720 N ARMENIA AVE
TAMPA FL
33612-7506
US

V. Phone/Fax

Practice location:
  • Phone: 813-534-8856
  • Fax:
Mailing address:
  • Phone: 813-534-8856
  • Fax: 435-355-3881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: EMMANUELA CLAUDE PIERRE-CHARLES
Title or Position: OWNNER
Credential: APRN
Phone: 813-534-8856