1. Home
  2. Directory
  3. Florida
  4. St Augustine
  5. Counselor
  6. NPI Profile

AVANTI WELLNESS CENTER INC
NPI 1861403974
Counselor - Mental Health in St Augustine, FL

Active since August 11, 2006
165 SOUTHPARK BLVD, SUITE D, ST AUGUSTINE, FL 32086(904) 824-7597(904) 824-7598 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Avanti Wellness Center Inc NPPES

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

AVANTI WELLNESS CENTER INC (NPI 1861403974) is a healthcare organization registered as a mental health in St Augustine, Florida and active in the NPI registry since August 2006. The organization lists Denise R Odom, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1861403974
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameAVANTI WELLNESS CENTER INC
Location Address165 SOUTHPARK BLVD, SUITE DSt Augustine, FL 32086-4101
Mailing Address165 Southpark Blvd, Suite DSt Augustine, FL 32086-4101 · (904) 824-7597 · Fax (904) 824-7598
Phone(904) 824-7597
Fax(904) 824-7598
Organization SubpartNo
Authorized OfficialDenise R OdomOffice Manager · (904) 824-7597
Enumeration DateAugust 11, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1861403974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PY7098 (FL)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License SW5151 (FL)

Other Identifiers 1

OtherHCC7024FL · Medical License Number

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 14

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

FM MEDICAL
Clinic/Center (Multi-Specialty)
165 SOUTHPARK BLVD, SUITE C & D
ST AUGUSTINE, FL 32086
St. Johns County (904) 823-8833
MRS. ANNETTE ZAVRO LMHC
Counselor (Mental Health)
165 SOUTHPARK BLVD, SUITE D
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-7597
MRS. JANET GRISWOLD LCSW
Social Worker (Clinical)
165 SOUTHPARK BLVD, SUITE D
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-7597
MRS. LISA REISDORF BISHOP
Counselor (Mental Health)
165 SOUTHPARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-7597
JENNY LING
Massage Therapist
165 SOUTHPARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (347) 543-1923
MS. DENISE J NEALEY MS
Counselor
165 SOUTHPARK BLVD, SUITE C
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-7597
MR. JAMES WILSON DAMIANI RN
Registered Nurse (Psychiatric/Mental Health)
165 SOUTHPARK BLVD, SUITE D
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-7597
MS. LINDA G GIACOBBE LCSW
Social Worker (Clinical)
165 SOUTHPARK BLVD
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-7597

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 Avanti Wellness Center Inc's NPI number?

The NPI number for Avanti Wellness Center Inc is 1861403974. It was assigned to this organization in the NPPES registry on August 11, 2006.

Where is Avanti Wellness Center Inc located?

Avanti Wellness Center Inc is located at 165 Southpark Blvd Suite D, St Augustine, FL 32086. The listed phone number is (904) 824-7597.

What is Avanti Wellness Center Inc'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 Avanti Wellness Center Inc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.