NPI | 1801490131 |
---|---|
Doing Business As | SUPERIOR HEALTH & WELLNESS |
Former Legal Business Name | SUPERIOR HEALTH AND WELLNESS GROUP |
Entity Type | Organization |
Authorized Contact | NIKITA RICHARDSON Owner/Provider Manager 904-257-6882 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical | |
261QM1300X Clinic/Center, Multi-Specialty | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2020-11-27 |
Last Update Date | 2025-04-29 |