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MENTAL SOUTH WELLNESS PA
NPI 1255799896
Specialist in Saint Johns, FL

Active since February 09, 2016
125 EDGEWATER BRANCH DR, SAINT JOHNS, FL 32259(904) 494-8277 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mental South Wellness Pa NPPES

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

MENTAL SOUTH WELLNESS PA (NPI 1255799896) is a healthcare organization registered as a specialist in Saint Johns, Florida and active in the NPI registry since February 2016. The organization lists Jonathan Carvajal, Physician, as its authorized official.

NPPES Registry Identity

NPI1255799896
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMENTAL SOUTH WELLNESS PA
Location Address125 EDGEWATER BRANCH DRSaint Johns, FL 32259-4417
Mailing Address125 Edgewater Branch DrSaint Johns, FL 32259-4417
Phone(904) 494-8277
Organization SubpartNo
Authorized OfficialJonathan CarvajalPhysician · (904) 494-8277
Enumeration DateFebruary 9, 2016
✔ NPI 1255799896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
125 EDGEWATER BRANCH DR, Saint Johns, FL 32259
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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

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 Mental South Wellness PA's NPI number?

The NPI number for Mental South Wellness PA is 1255799896. It was assigned to this organization in the NPPES registry on February 9, 2016.

Where is Mental South Wellness PA located?

Mental South Wellness PA is located at 125 Edgewater Branch Dr, Saint Johns, FL 32259. The listed phone number is (904) 494-8277.

What is Mental South Wellness PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mental South Wellness PA was last updated on February 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.