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

Mandala Family Wellness LLC

Organization Psychologist · NPI 1497262620

Mandala Family Wellness LLC is a Psychologist in Ponte Vedra Beach, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

171 Canal Blvd
Ponte Vedra Beach, FL 32082-3607
Phone: (904) 608-0782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY7735 (FL)

Record details

NPI number1497262620
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katherine Falwell — Ceo · (904) 521-6266
NPI enumeratedJanuary 9, 2018
Last updated in NPPESOctober 5, 2023
Certification dateAugust 22, 2023
Mailing address171 Canal Blvd, Ponte Vedra Beach, FL 32082-3607

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