EMERALD COAST WELLNESS CENTER, LLC
NPI 1417287855
Clinic/Center - Adult Mental Health in Niceville, FL

Active since January 07, 2010
138 BAYWIND DR, NICEVILLE, FL 32578(850) 398-4155(850) 398-4142 Get Directions Write a Review

NPPES record last updated: September 2, 2015. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Emerald Coast Wellness Center, Llc NPPES

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

EMERALD COAST WELLNESS CENTER, LLC (NPI 1417287855) is a healthcare organization registered as an adult mental health in Niceville, Florida and active in the NPI registry since January 2010. The organization lists Henry Alexander Boilini, Psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1417287855
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameEMERALD COAST WELLNESS CENTER, LLC
Location Address138 BAYWIND DRNiceville, FL 32578-4800
Mailing Address138 Baywind DrNiceville, FL 32578-4800 · (850) 398-4155 · Fax (850) 398-4142
Fax(850) 398-4142
Organization SubpartNo
Authorized OfficialHenry Alexander BoiliniPsychiatrist · (850) 543-5678
Enumeration DateJanuary 7, 2010
Last NPPES UpdateSeptember 2, 2015
NPI 1417287855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
138 BAYWIND DR, Niceville, FL 32578

Other Identifiers 2

Medicaid008056800FL
Medicare PINDY718A

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 Emerald Coast Wellness Center, LLC's NPI number?

The NPI number for Emerald Coast Wellness Center, LLC is 1417287855. It was assigned to this organization in the NPPES registry on January 7, 2010.

Where is Emerald Coast Wellness Center, LLC located?

Emerald Coast Wellness Center, LLC is located at 138 Baywind Dr, Niceville, FL 32578. The listed phone number is (850) 398-4155.

What is Emerald Coast Wellness Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Emerald Coast Wellness Center, LLC was last updated on September 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.