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Organization
WHITAKER WELLNESS SPA, LLC
Active
Organization
WHITAKER WELLNESS SPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTELL WHITAKER (OWNER/EMPLOYEE)
(904) 576-6868
Entity
Organization
Contact information
Practice address
8624 RIBBON FALLS LN, JACKSONVILLE, FL 32244-4990
(904) 576-6868
Mailing address
8624 RIBBON FALLS LN, JACKSONVILLE, FL 32244-4990
(904) 576-6868
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
101YS0200X
School Counselor
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
05/01/2023
Last updated
12/07/2025
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