Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

EMBODIED MENTAL WELLNESS LLC
NPI 1619871944
Nurse Practitioner - Psychiatric/Mental Health in Palm Beach Gardens, FL

Active since October 08, 2026
3450 NORTHLAKE BLVD STE 102, PALM BEACH GARDENS, FL 33403(561) 307-9974 Get Directions Write a Review

NPPES record added: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Embodied Mental Wellness Llc NPPES

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

EMBODIED MENTAL WELLNESS LLC (NPI 1619871944) is a healthcare organization registered as a psychiatric/mental health in Palm Beach Gardens, Florida and active in the NPI registry since October 2026. The organization lists Reffernita Shaw, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1619871944
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameEMBODIED MENTAL WELLNESS LLC
Location Address3450 NORTHLAKE BLVD STE 102Palm Beach Gardens, FL 33403-1709
Mailing Address3450 Northlake Blvd Ste 102Palm Beach Gardens, FL 33403-1709
Organization SubpartNo
Authorized OfficialReffernita ShawPmhnp · (561) 307-9974
Enumeration DateOctober 8, 2026
NPPES CertifiedOctober 8, 2026
✔ NPI 1619871944 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
3450 NORTHLAKE BLVD STE 102, Palm Beach Gardens, FL 33403

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 Embodied Mental Wellness LLC's NPI number?

The NPI number for Embodied Mental Wellness LLC is 1619871944. It was assigned to this organization in the NPPES registry on October 8, 2026.

Where is Embodied Mental Wellness LLC located?

Embodied Mental Wellness LLC is located at 3450 Northlake Blvd Ste 102, Palm Beach Gardens, FL 33403. The listed phone number is (561) 307-9974.

What is Embodied Mental Wellness LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Embodied Mental Wellness LLC was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.