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

Mangrove Wellness Center, Inc

Organization Mental Health Counselor · NPI 1285987453

Mangrove Wellness Center, Inc is a Mental Health Counselor in Venice, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
Specialties on file
4
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

1515 Tamiami Trl S Ste 2
Venice, FL 34285
Phone: (941) 822-5620
Fax: (855) 239-0365
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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 · Licence MH12785 (FL)
Professional Counselor Taxonomy 101YP2500X · Licence PY5867 (FL)
Professional Counselor Taxonomy 101YP2500X · Licence MH12785 (FL)
Clinical Psychologist Taxonomy 103TC0700X · Licence PY5867 (FL)

Record details

NPI number1285987453
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Reidsema — President · (941) 822-5620
NPI enumeratedOctober 24, 2012
Last updated in NPPESOctober 13, 2014
Mailing address1515 Tamiami Trail S., Suite 2, Venice, FL 34285

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