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NPI Code Detail

MEDICARE: INNER WELLNESS PSYCHIATRY

MEDICARE: INNER WELLNESS PSYCHIATRY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1376494179
Entity Type Code : Organization
Provider Name (Legal Business Name) : INNER WELLNESS PSYCHIATRY
Provider Business Mailing Address
First Line : 1206 NW 170TH TER
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33028-1921
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4000 HOLLYWOOD BLVD STE 555S
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-6853
Country : US
Telephone Number : 561-621-2903
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KRISTINA ELIZABETH ENCALADA
Credential : PMHNP-BC
Telephone Number : 954-465-4648
Provider Enumeration Date : 02/06/2026
Last Update Date : 02/06/2026

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Directions to “INNER WELLNESS PSYCHIATRY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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