Provider Demographics
NPI:1154212819
Name:MENTAL HEALTH WELLNESS
Entity type:Organization
Organization Name:MENTAL HEALTH WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MESHANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-304-7001
Mailing Address - Street 1:509 8TH AVE W STE 100
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-5153
Mailing Address - Country:US
Mailing Address - Phone:941-304-7001
Mailing Address - Fax:941-200-4130
Practice Address - Street 1:509 8TH AVE W STE 100
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-5153
Practice Address - Country:US
Practice Address - Phone:941-304-7001
Practice Address - Fax:941-200-4130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty