Nourivida Wellness – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1396100657

Nourivida Wellness is a healthcare provider. based in Port saint lucie, Florida. specializing in Mental Health Clinic/Center (Including Community Mental Health Center). The organization holds a License No. SW12224 (FL). The NPI Number for Nourivida Wellness is 1396100657

Main info

Organization
Name
Nourivida Wellness
NPI
1396100657
Phone
(772) 361-8448
Address
1222 SE PORT ST LUCIE BLVD
Authorized Official
MRS. YVETTE MCDONALD LCSW/PRESIDENT LCSW
Enumeration Date
30 December 2015
Last Update Date
21 November 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness90
Years active:10State licenses:1Digital endpoints

Provider Addresses for Nourivida Wellness

  • 1222 SE PORT ST LUCIE BLVD

    PORT SAINT LUCIE, FL 349525364

    Phone: (772) 361-8448

    Fax: (844) 269-6480

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34952)

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Reviews

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Frequently asked questions

Can I use this page to confirm Nourivida Wellness's NPI?
Yes. Nourivida Wellness is listed with NPI 1396100657 in the public NPI dataset.
Is Nourivida Wellness listed as active for patients and plans?
The listing shows Nourivida Wellness as active in the NPI system.
What is Nourivida Wellness's specialty?
The listing groups Nourivida Wellness with Mental Health Clinic/Center (Including Community Mental Health Center). Clinical services aligned with this taxonomy classification.
What address line appears for Nourivida Wellness?
Nourivida Wellness's geographic hint is Port Saint Lucie, Florida in our summary view.
Why does Nourivida Wellness have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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