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

Deltona Wellness & Psychiatry Clinic PLLC

Organization Nurse Practitioner · NPI 1396551347

Deltona Wellness & Psychiatry Clinic PLLC is a Nurse Practitioner in Orange City, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2401 E Graves Ave Ste 19
Orange City, FL 32763-8582
Phone: (866) 866-7215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1396551347
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vanessa Balous — President · (866) 866-7215
NPI enumeratedDecember 5, 2024
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024
Mailing address1618 Amboy Dr, Deltona, FL 32738-5202

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