MEDICARE: WELL BEING FL, LLC

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
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1598617334
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELL BEING FL, LLC

Provider Business Mailing Address
First Line	:	4201 49TH ST N APT 408
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33709-5776
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4201 49TH ST N APT 408
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33709-5776
Country	:	US
Telephone Number	:	978-457-5490
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	EDWINA RENAE GREEN
Credential	:	GREEN
Telephone Number	:	978-457-5490

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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Directions to “WELL BEING FL, LLC ” Practice Location

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