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

Avanti Wellness Center Inc

Organization Mental Health Counselor · NPI 1861403974

Avanti Wellness Center Inc is a Mental Health Counselor in St Augustine, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

165 Southpark Blvd Ste D
St Augustine, FL 32086-4101
Phone: (904) 824-7597
Fax: (904) 824-7598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Clinical Psychologist Taxonomy 103TC0700X · Licence PY7098 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW5151 (FL)

Record details

NPI number1861403974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Denise Odom — Office Manager · (904) 824-7597
NPI enumeratedAugust 11, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address165 Southpark Blvd, Suite D, St Augustine, FL 32086-4101

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