Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Avanti Wellness Center Flllp

Organization Mental Health Counselor · NPI 1215179056

Avanti Wellness Center Flllp is a Mental Health Counselor in St Augustine, Florida. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
8
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Practice location Address checks out

3574 US 1 S Ste 113
St Augustine, FL 32086-6466
Phone: (904) 797-3115
Fax: (904) 797-2915
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Mental Health Counselor Taxonomy 101YM0800X
Clinical Social Worker Taxonomy 1041C0700X
Marriage & Family Therapist Taxonomy 106H00000X
Family Medicine Physician Taxonomy 207Q00000X
General Practice Physician Taxonomy 208D00000X
Adult Health Nurse Practitioner Taxonomy 363LA2200X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1215179056
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randi Brazer — Director Of Operations · (904) 797-3115
NPI enumeratedMarch 25, 2009
Last updated in NPPESMay 19, 2011
Mailing address3574 Us 1 S, Suite 113, St Augustine, FL 32086-6466

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