Avanti Wellness Center Inc is a Counselor Clinic in St Augustine, Florida. It is located at 165 Southpark Blvd, Suite D, St Augustine, FL and its contact number is 904-824-7597. The authorized person for Avanti Wellness Center Inc is Mrs. Denise R Odom
who is Office Manager of the clinic and his/her contact number is 904-824-7597. The primary license number for Avanti Wellness Center Inc is SW5151 (Clinical) in Florida. Avanti Wellness Center Inc Clinic has counselors who are trained and educated in the performance of behavior health services through interpersonal communications and analysis. Counselors offer guidance to individuals, couples, families and groups who are dealing with issues that affect their mental health and well-being.
Complete Clinic Profile:
Avanti Wellness Center Inc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Avanti Wellness Center Inc
Specialization:
Mental Health Counselor
Clinic Address:
165 Southpark Blvd, Suite D, St Augustine, Florida, 32086-4101
Phone:
904-824-7597
Fax:
904-824-7598
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mrs. Denise R Odom
Position:
Office Manager
Contact Number:
904-824-7597
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Avanti Wellness Center Inc clinic are as mentioned below.
NPI Number:
1861403974
NPI Enumeration Date:
11 Aug, 2006
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Avanti Wellness Center Inc are as mentioned below.
Specialization
License Number
State
Status
Clinical
SW5151
Florida
Primary
Mental Health
Secondary
Clinical
PY7098
Florida
Secondary
Clinical
SW5151
Florida
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
HCC7024
Other
Florida
Medical License Number
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Avanti Wellness Center Inc 165 Southpark Blvd, Suite D St Augustine, Florida
Zip:
32086-4101
Phone Number:
904-824-7597
Fax Number:
904-824-7598
Patients can reach Avanti Wellness Center Inc at 165 Southpark Blvd, Suite D, St Augustine, Florida or can call to book an appointment on 904-824-7597. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.