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ANTIDOTE WELLNESS LLC
NPI 1043817786
Social Worker - Clinical in Pensacola, FL

Active since October 06, 2020
5435 JAPONICA AVE, PENSACOLA, FL 32507(850) 332-3087 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Antidote Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTIDOTE WELLNESS LLC (NPI 1043817786) is a healthcare organization registered as a clinical in Pensacola, Florida and active in the NPI registry since October 2020. The organization lists Amanda L Haggard, Sole Owner/psychotherapist, as its authorized official.

NPPES Registry Identity

NPI1043817786
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameANTIDOTE WELLNESS LLC
Location Address5435 JAPONICA AVEPensacola, FL 32507-8848
Mailing Address5435 Japonica AvePensacola, FL 32507-8848 · (850) 332-3087
Phone(850) 332-3087
Organization SubpartNo
Authorized OfficialAmanda L HaggardSole Owner/psychotherapist · (850) 332-3087
Enumeration DateOctober 6, 2020
NPPES CertifiedOctober 6, 2020
✔ NPI 1043817786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5435 JAPONICA AVE, Pensacola, FL 32507
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Other Names 1

Former Legal Business NameAntidote Wellness Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA LEIGH HAGGARD MSW, LCSW, LISW CP
Social Worker (Clinical)
5435 JAPONICA AVE
PENSACOLA, FL 32507
Escambia County (850) 332-3087

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antidote Wellness LLC's NPI number?

The NPI number for Antidote Wellness LLC is 1043817786. It was assigned to this organization in the NPPES registry on October 6, 2020.

Where is Antidote Wellness LLC located?

Antidote Wellness LLC is located at 5435 Japonica Ave, Pensacola, FL 32507. The listed phone number is (850) 332-3087.

What is Antidote Wellness LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Antidote Wellness LLC was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.