Active NPI
Atlantean Wellness, LLC
- Community/Behavioral Health Agency
- Port Charlotte, FL
National Provider Identifier
1104601384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ATLANTEAN WELLNESS, LLC
- Practice address
- 22119 Elmira Blvd
Port Charlotte, FL 33952-7018 - Phone
- (941) 264-4899
- NPI assigned
- Aug 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Meredith Wilber
- Title
- Owner
- Phone
- (941) 264-4899
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
22119 Elmira Blvd
Port Charlotte, FL 33952-7018
Mailing address
PO Box 7505
North Port, FL 34290-0505
Phone (941) 264-4899
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Port Charlotte, FL
- NPI 1306529185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693180800000",
"number": "1104601384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7505",
"city": "NORTH PORT",
"state": "FL",
"postal_code": "342900505",
"telephone_number": "941-264-4899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22119 ELMIRA BLVD",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339527018",
"telephone_number": "941-264-4899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTEAN WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-28",
"last_updated": "2023-08-28",
"certification_date": "2023-08-09",
"status": "A",
"authorized_official_last_name": "WILBER",
"authorized_official_first_name": "MEREDITH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "941-264-4899"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.