| Organization Name: | SANDPIPER WELLNESS & THERAPY, LLC |
| NPI Number: | 1073912606 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN MARINO (CHAIRMAN) |
| Mailing Address: | 1405 Se Goldtree Dr Ste D Port Saint Lucie |
| State: | FL US |
| Postal Code: | 349527563 |
| Phone Number: | 7728003990 |
| Fax Number: | 7726212977 |
| NPI Enumeration Date: | 08/20/2014 |
| NPI Last Update Date: | 05/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 5646277703302 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |