# MAYBERRY MENTAL WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649175340
- **Authorized official:** DR. AMARIS BLANCHE MAYBERRY PMHNP (OWNER/PRACTIONER)
- **Authorized official phone:** (847) 529-4168

## Contact information

- **Practice address:** 11111 SAN JOSE BLVD \# 1105, JACKSONVILLE, FL 32223-7946
- **Practice address phone:** (847) 529-4168
- **Mailing address:** 11111 SAN JOSE BLVD \# 1105, JACKSONVILLE, FL 32223-7946
- **Mailing address phone:** (847) 529-4168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |

## Other

- **Enumeration date:** 10/12/2026
- **Last updated:** 10/12/2026