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NPI 1598617334

NPI 1598617334 : WELL BEING FL, LLC : SAINT PETERSBURG, FL

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General NPI Number Information
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    NPI Number           |    1598617334
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    Entity Type          |    Organization 
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    Legal Business Name  |    WELL BEING FL, LLC 
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Dates
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    Enumeration Date     |    02/12/2026
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    Last Update Date     |    02/12/2026
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Provider Practice Location Address
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    Address Line         |    4201 49TH ST N APT 408 
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    City                 |    SAINT PETERSBURG
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    State                |    FL
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    Zip                  |    33709-5776
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    Country              |    US
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    Telephone            |    978-457-5490
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4201 49TH ST N APT 408 
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    City                 |    SAINT PETERSBURG
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    State                |    FL
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    Zip                  |    33709-5776
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     EDWINA RENAE GREEN 
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    Credential           |    GREEN
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    Telephone            |    978-457-5490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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