Active NPI
Eden Path Wellness LLC
- Psychiatric/Mental Health Nurse Practitioner
- Hollywood, FL
National Provider Identifier
1891668455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- EDEN PATH WELLNESS LLC
- Practice address
- 2719 Hollywood Blvd
Hollywood, FL 33020-4821 - Phone
- (786) 282-4625
- Fax
- (954) 405-8767
- NPI assigned
- Sep 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sodna Paul, APRN
- Title
- Psychiatric Mental Nurse Practition
- Phone
- (786) 282-4625
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
2719 Hollywood Blvd
Hollywood, FL 33020-4821
Mailing address
2719 Hollywood Blvd
Hollywood, FL 33020-4821
Phone (786) 282-4625
National Provider Directory
National Provider DirectoryPractitioners & 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": "1759104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759104000000",
"number": "1891668455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2719 HOLLYWOOD BLVD",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330204821",
"telephone_number": "786-282-4625",
"fax_number": "954-405-8767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2719 HOLLYWOOD BLVD",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330204821",
"telephone_number": "786-282-4625",
"fax_number": "954-405-8767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDEN PATH WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-29",
"last_updated": "2025-09-29",
"certification_date": "2025-09-13",
"status": "A",
"authorized_official_last_name": "PAUL",
"authorized_official_first_name": "SODNA",
"authorized_official_title_or_position": "PSYCHIATRIC MENTAL NURSE PRACTITION",
"authorized_official_telephone_number": "786-282-4625",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.