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

Ketamine Holistic Wellness Center, PLLC

Organization Psychiatric/Mental Health Registered Nurse · NPI 1114586138

Ketamine Holistic Wellness Center, PLLC is a Psychiatric/Mental Health Registered Nurse in Satellite Beach, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1024 Highway A1A Ste 152
Satellite Beach, FL 32937-2341
Phone: (321) 777-8040
Fax: (321) 821-0212
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X

Record details

NPI number1114586138
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kymberly Pierce-Dew — Billing Manager · (941) 720-5448
NPI enumeratedJune 12, 2019
Last updated in NPPESJune 12, 2019
Mailing address1024 Highway A1a Ste 152, Satellite Beach, FL 32937-2341