WELLNESSCLINIC ON WHEELS LLC
NPI 1275425803
Nurse Practitioner - Psychiatric/Mental Health in Deland, FL

Active since July 17, 2025CLIA 10D2245852 · Waiver
470 S SPRING GARDEN AVE, DELAND, FL 32720(202) 834-7722 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellnessclinic On Wheels Llc NPPES

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

WELLNESSCLINIC ON WHEELS LLC (NPI 1275425803) is a healthcare organization registered as a psychiatric/mental health in Deland, Florida and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through December 16, 2027 and lists El Agathe Asopo Tanyi, Owner, as its authorized official.

NPPES Registry Identity

NPI1275425803
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameWELLNESSCLINIC ON WHEELS LLC
Location Address470 S SPRING GARDEN AVEDeland, FL 32720-5080
Mailing Address1747 Fort Smith BlvdDeltona, FL 32725-3728 · (202) 834-7722
Organization SubpartNo
Authorized OfficialEl Agathe Asopo TanyiOwner · (202) 834-7722
Enumeration DateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
NPI 1275425803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
470 S SPRING GARDEN AVE, Deland, FL 32720

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2245852

Wellness Clinic On Wheels · Deltona, FL
Active · expires Dec 16, 2027
CLIA Number10D2245852
Laboratory TypeMobile Clinic
Certificate Effective DateDecember 17, 2025
Certificate Expiration DateDecember 16, 2027
Laboratory DirectorEl Agathe Tembeng
Laboratory Phone(202) 834-7722
Laboratory LocationWellness Clinic On Wheels1747 Fort Smith Blvd, Deltona, FL 32725
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Wellnessclinic On Wheels LLC's NPI number?

The NPI number for Wellnessclinic On Wheels LLC is 1275425803. It was assigned to this organization in the NPPES registry on July 17, 2025.

Where is Wellnessclinic On Wheels LLC located?

Wellnessclinic On Wheels LLC is located at 470 S Spring Garden Ave, Deland, FL 32720. The listed phone number is (202) 834-7722.

What is Wellnessclinic On Wheels LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Wellnessclinic On Wheels LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2245852) is associated with this NPI, valid through December 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellnessclinic On Wheels LLC was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.