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

Her Table Collective Therapy & Wellness LLC

Organization Mental Health Counselor · NPI 1689471013

Her Table Collective Therapy & Wellness LLC is a Mental Health Counselor in Southport, Florida. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

7314 Mary Jo Ave
Southport, FL 32409-4162
Phone: (850) 565-9028
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1689471013
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Holly Chancey — Owner · (850) 565-9028
NPI enumeratedFebruary 25, 2025
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025
Mailing address7314 Mary Jo Ave, Southport, FL 32409-4162