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Mangrove Wellness Center,Inc

Mental Health Counselor in Venice, FL · enumerated 2012 · authorized official Lisa Reidsema, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1285987453

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Registry record

Entity type Organization (Type 2)
Legal business name Mangrove Wellness Center,Inc
Practice address 1515 Tamiami Trail S., Suite 2, Venice, FL, 34285
Phone (941) 822-5620
Fax (855) 239-0365
Enumeration date Oct 24, 2012
Last updated in NPPES Oct 13, 2014

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License MH12785 (FL) Primary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers · License PY5867 (FL) Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers · License MH12785 (FL) Secondary
103TC0700X Clinical Psychologist Behavioral Health & Social Service Providers · License PY5867 (FL) Secondary

Authorized official

Name Lisa Reidsema
Title President
Phone (941) 822-5620

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Mangrove Wellness Center,Inc?
NPPES lists Lisa Reidsema (President) as the authorized official for this organization.
What is the NPI number for Mangrove Wellness Center,Inc?
The NPI for Mangrove Wellness Center,Inc is 1285987453, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-10-13.