PROFESSIONAL MENTAL HEALTH WELLNESS SERVICES LLC
NPI 1659013548
Nurse Practitioner - Psychiatric/Mental Health in Bristol, FL

Active since April 11, 2022
10564 NW SR 20 SUITE #2, BRISTOL, FL 32321(850) 447-4644 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2022, Apr 11, 2022 (2 updates tracked since 2022).

About Professional Mental Health Wellness Services Llc NPPES

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

PROFESSIONAL MENTAL HEALTH WELLNESS SERVICES LLC (NPI 1659013548) is a healthcare organization registered as a psychiatric/mental health in Bristol, Florida and active in the NPI registry since April 2022. The organization lists Kristina A Rickman-sykes, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1659013548
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePROFESSIONAL MENTAL HEALTH WELLNESS SERVICES LLC
Location Address10564 NW SR 20 SUITE #2Bristol, FL 32321
Mailing AddressPo Box 443Hosford, FL 32334-0443
Organization SubpartNo
Authorized OfficialKristina A Rickman-sykesPmhnp · (850) 447-4644
Enumeration DateApril 11, 2022
Last NPPES UpdateAugust 29, 20222 updates tracked since enumeration
NPPES CertifiedAugust 27, 2022
NPI 1659013548 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

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
10564 NW SR 20 SUITE #2
BRISTOL, FL 32321

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 Professional Mental Health Wellness Services LLC's NPI number?

The NPI number for Professional Mental Health Wellness Services LLC is 1659013548. It was assigned to this organization in the NPPES registry on April 11, 2022.

Where is Professional Mental Health Wellness Services LLC located?

Professional Mental Health Wellness Services LLC is located at 10564 NW Sr 20 Suite #2, Bristol, FL 32321. The listed phone number is (850) 447-4644.

What is Professional Mental Health Wellness Services 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 Professional Mental Health Wellness Services LLC was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.