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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIND BODY WELLNESS GROUP LLC
NPI 1750862017
Counselor - Mental Health in St Petersburg, FL

Active since August 24, 2018
840 BEACH DR NE, ST PETERSBURG, FL 33701(727) 310-5520 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 21, 2026, Aug 24, 2018 (2 updates tracked since 2018).

About Mind Body Wellness Group Llc NPPES

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

MIND BODY WELLNESS GROUP LLC (NPI 1750862017) is a healthcare organization registered as a mental health in St Petersburg, Florida and active in the NPI registry since August 2018. The organization maintains a secondary practice location in St Petersburg and lists John Wallace Stone, Authorized Manager, as its authorized official.

NPPES Registry Identity

NPI1750862017
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMIND BODY WELLNESS GROUP LLC
Location Address840 BEACH DR NESt Petersburg, FL 33701-2012
Mailing Address246 22nd Ave NeSt Petersburg, FL 33704-3527 · (727) 310-5520
Phone(727) 310-5520
Organization SubpartNo
Authorized OfficialJohn Wallace StoneAuthorized Manager · (727) 310-5520
Enumeration DateAugust 24, 2018
Last NPPES UpdateSeptember 21, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1750862017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · SW14906
840 BEACH DR NE, St Petersburg, FL 33701
Open in Google Maps ↗

Other Names 1

Doing Business AsMind Body Wellness Group Llc

Secondary Practice Location 1

Location 17901 4th St N Ste 307St Petersburg, FL 33702-4313 · Phone (727) 310-5520

Other Identifiers 1

Other1629433636FL · Npi

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

Other Providers at the Same Location NPPES 6

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

MAUREEN CORBETT, PH.D., PA
Psychologist
840 BEACH DR NE
ST PETERSBURG, FL 33701
Pinellas County (727) 826-1887
KATHERINE MCKAY, PH.D., LLC
Psychologist (Clinical)
840 BEACH DR NE
SAINT PETERSBURG, FL 33701
Pinellas County (727) 385-0032
NOELLE WALTERS MSW, LCSW, LICSW
Social Worker (Clinical)
840 BEACH DR NE
ST PETERSBURG, FL 33701
Pinellas County (727) 710-1223
MS. ANNETTE D REITER MA, LMFT
Marriage & Family Therapist
840 BEACH DR NE
SAINT PETERSBURG, FL 33701
Pinellas County (727) 826-6807
RAITANO ENTERPRISES, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
840 BEACH DR NE
ST PETERSBURG, FL 33701
Pinellas County (727) 543-3235
DR. AMANDA THALJI-RAITANO PH.D.
Psychologist
840 BEACH DR NE
SAINT PETERSBURG, FL 33701
Pinellas County (727) 543-3235

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 Mind Body Wellness Group LLC's NPI number?

The NPI number for Mind Body Wellness Group LLC is 1750862017. It was assigned to this organization in the NPPES registry on August 24, 2018.

Where is Mind Body Wellness Group LLC located?

Mind Body Wellness Group LLC is located at 840 Beach Dr NE, St Petersburg, FL 33701. The listed phone number is (727) 310-5520.

What is Mind Body Wellness Group 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 Mind Body Wellness Group LLC was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.