Organization Active NPI

Elocin Wellness LLC

  • Multi-Specialty Clinic/Center
  • Lake Mary, FL
National Provider Identifier
1346105160
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ELOCIN WELLNESS LLC
Practice address
1540 International Pkwy Ste 255
Lake Mary, FL 32746-5096
Phone
(321) 516-5738
NPI assigned
Dec 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Nikia Williams, ARNPNPI 1043682065
Title
Ceo/Owner
Phone
(321) 516-5738

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Multi-Specialty Clinic/Center 261QM1300X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

1540 International Pkwy Ste 255
Lake Mary, FL 32746-5096

Mailing address

1540 International Pkwy Ste 255
Lake Mary, FL 32746-5096
Phone (321) 516-5738

National Provider Directory

National Provider Directory

Locations

1540 International Pkwy
Ste 255
Lake Mary, FL 32746
Phone (321) 516-5738

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1766448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1346105160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 INTERNATIONAL PKWY STE 255",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465096",
            "telephone_number": "321-516-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 INTERNATIONAL PKWY STE 255",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465096",
            "telephone_number": "321-516-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELOCIN WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NIKIA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "321-516-5738",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.