THE WELLNESS COLLECTIVE BOUTIQUE
NPI 1174400543
Social Worker - Clinical in St Petersburg, FL

Active since August 18, 2025
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702(407) 921-6276 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Wellness Collective Boutique NPPES

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

THE WELLNESS COLLECTIVE BOUTIQUE (NPI 1174400543) is a healthcare organization registered as a clinical in St Petersburg, Florida and active in the NPI registry since August 2025. The organization lists Nyesha Logan, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1174400543
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTHE WELLNESS COLLECTIVE BOUTIQUE
Location Address7901 4TH ST N STE 300St Petersburg, FL 33702-4399
Mailing Address5707 Creek Dale DrOrlando, FL 32810-3981 · (407) 921-6276
Organization SubpartNo
Authorized OfficialNyesha LoganCo-owner · (407) 921-6276
Enumeration DateAugust 18, 2025
NPPES CertifiedAugust 18, 2025
NPI 1174400543 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.
7901 4TH ST N STE 300, St Petersburg, FL 33702

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Social Worker (Clinical)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Social Worker (Clinical)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Social Worker (Clinical)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Social Worker (Clinical)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Social Worker (Clinical)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702
Nurse Practitioner (Psychiatric/Mental Health)
7901 4TH ST N STE 300
SAINT PETERSBURG, FL 33702
Preventive Medicine (Public Health & General Preventive Medicine)
7901 4TH ST N STE 300
ST PETERSBURG, FL 33702

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 The Wellness Collective Boutique's NPI number?

The NPI number for The Wellness Collective Boutique is 1174400543. It was assigned to this organization in the NPPES registry on August 18, 2025.

Where is The Wellness Collective Boutique located?

The Wellness Collective Boutique is located at 7901 4th St N Ste 300, St Petersburg, FL 33702. The listed phone number is (407) 921-6276.

What is The Wellness Collective Boutique'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 The Wellness Collective Boutique was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.