Organization Active NPI

Fluid Prodigy LLC

Doing business as The Prodigy Wellness Collective

  • Mental Health Counselor
  • Dover, FL
National Provider Identifier
1114887130
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FLUID PRODIGY LLC
Doing business as
The Prodigy Wellness Collective
Practice address
206 Archcliffe Point PL.
Dover, FL 33527
Phone
(407) 733-6409
NPI assigned
Nov 12, 2025
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Alexis Victoriano-Hutson, LCSW
Title
Owner
Phone
(407) 733-6409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

206 Archcliffe Point PL.
Dover, FL 33527

Mailing address

3433 Lithia Pinecrest Rd Ste 337
Valrico, FL 33596-6302
Phone (407) 733-6409

Other names 1

  • The Prodigy Wellness Collective Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1114887130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 LITHIA PINECREST RD STE 337",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966302",
            "telephone_number": "407-733-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 ARCHCLIFFE POINT PL.",
            "city": "DOVER",
            "state": "FL",
            "postal_code": "33527",
            "telephone_number": "407-733-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLUID PRODIGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-12",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "VICTORIANO-HUTSON",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-733-6409",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Prodigy Wellness Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dover, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.