Provider Demographics
NPI:1104606318
Name:NEEVAR WELLNESS
Entity type:Organization
Organization Name:NEEVAR WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:WONDER
Authorized Official - Prefix:
Authorized Official - First Name:RAVEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORENCE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:813-451-4359
Mailing Address - Street 1:3975 ADDLESTONE AVE UNIT 113
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-5582
Mailing Address - Country:US
Mailing Address - Phone:813-451-4359
Mailing Address - Fax:
Practice Address - Street 1:3975 ADDLESTONE AVE UNIT 113
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-5582
Practice Address - Country:US
Practice Address - Phone:813-451-4359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty