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

Vivica Wadsworth

Individual provider Mental Health Counselor · NPI 1548073513

Vivica Wadsworth is a Mental Health Counselor in Dade City, Florida. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

14230 Lazee Ln
Dade City, FL 33525-7626
Phone: (352) 668-8274
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Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1548073513
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 31, 2025
Last updated in NPPESJanuary 31, 2025
Certification dateJanuary 31, 2025
Mailing address14230 Lazee Ln, Dade City, FL 33525-7626

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