Epic Wellness Clinic LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EPIC WELLNESS CLINIC LLC

Practice address

465 W 41St St PH
Miami Beach, FL 33140-3503

Phone

(786) 708-7166

NPI assigned

Nov 21, 2018

Organization subpart

No

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

Authorized official

Name

Nicole BerryNPI 1295152957

Title

Ceo

Phone

(305) 338-4027

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nicole Berry

  • Mental Health Counselor
  • Miami Beach, FL
  • NPI 1295152957
  NPD Authorized official

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569110400000",
    "number": "1396214102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S 57TH TER",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330231426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 W 41ST ST PH",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331403503",
            "telephone_number": "786-708-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2019-09-22",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-338-4027"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Enrique Davila MD PA
• Henry Enriquez
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• Daniel Lee Epstein, DO
• Antonina Eremenko, NP-C
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• Eleanor Hanna Erlich
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• Mental Health Counselor in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2019; 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.