Organization Active NPI

Nova Wellness Loft LLC

  • Community/Behavioral Health Agency
  • Davenport, FL
National Provider Identifier
1740174473
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NOVA WELLNESS LOFT LLC
Practice address
2320 North Blvd W Ste a
Davenport, FL 33837-8961
Phone
(863) 866-0909
NPI assigned
Jun 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Authorized official

Name
Mrs. Yasmine Dominique-Merveus, LCSWNPI 1053713016
Title
Co-Owner
Phone
(863) 866-0909

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2320 North Blvd W Ste a
Davenport, FL 33837-8961

Mailing address

1 South Blvd E # 1845
Davenport, FL 33837-7547

National Provider Directory

National Provider Directory

Locations

1 South Blvd E
#1845
Davenport, FL 33837

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": "1749168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749168000000",
    "number": "1740174473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SOUTH BLVD E # 1845",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338377547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 NORTH BLVD W STE A",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338378961",
            "telephone_number": "863-866-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA WELLNESS LOFT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "DOMINIQUE-MERVEUS",
        "authorized_official_first_name": "YASMINE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "863-866-0909",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.