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HER TABLE COLLECTIVE THERAPY & WELLNESS LLC
NPI 1689471013
Counselor - Mental Health in Southport, FL

Active since February 25, 2025
7314 MARY JO AVE, SOUTHPORT, FL 32409(850) 565-9028 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Her Table Collective Therapy & Wellness Llc NPPES

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

HER TABLE COLLECTIVE THERAPY & WELLNESS LLC (NPI 1689471013) is a healthcare organization registered as a mental health in Southport, Florida and active in the NPI registry since February 2025. The organization lists Holly Chancey, Owner, as its authorized official.

NPPES Registry Identity

NPI1689471013
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameHER TABLE COLLECTIVE THERAPY & WELLNESS LLC
Location Address7314 MARY JO AVESouthport, FL 32409-4162
Mailing Address7314 Mary Jo AveSouthport, FL 32409-4162 · (850) 565-9028
Phone(850) 565-9028
Organization SubpartNo
Authorized OfficialHolly ChanceyOwner · (850) 565-9028
Enumeration DateFebruary 25, 2025
NPPES CertifiedFebruary 25, 2025
✔ NPI 1689471013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
7314 MARY JO AVE, Southport, FL 32409
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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

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 Her Table Collective Therapy & Wellness LLC's NPI number?

The NPI number for Her Table Collective Therapy & Wellness LLC is 1689471013. It was assigned to this organization in the NPPES registry on February 25, 2025.

Where is Her Table Collective Therapy & Wellness LLC located?

Her Table Collective Therapy & Wellness LLC is located at 7314 Mary Jo Ave, Southport, FL 32409. The listed phone number is (850) 565-9028.

What is Her Table Collective Therapy & Wellness LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Her Table Collective Therapy & Wellness LLC was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.