Embodied Mental Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EMBODIED MENTAL WELLNESS LLC

Practice address

3450 Northlake Blvd Ste 102
Palm Beach Gardens, FL 33403-1709

Phone

(561) 307-9974

NPI assigned

Oct 8, 2026

Last updated

Oct 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Reffernita Shaw, PMHNP-BC

Title

Pmhnp

Phone

(561) 307-9974

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1619871944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 NORTHLAKE BLVD STE 102",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 NORTHLAKE BLVD STE 102",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031709",
            "telephone_number": "561-307-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIED MENTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-08",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "REFFERNITA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "561-307-9974",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.