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Organization
NOURIVIDA WELLNESS INC
Active
Organization
NOURIVIDA WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVETTE MCDONALD LCSW (CEO)
(954) 775-4248
Entity
Organization
Contact information
Practice address
1222 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5364
(772) 361-8448
(772) 492-4478
Mailing address
1222 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5364
(772) 361-8448
(772) 492-4478
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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