Organization
NEUROWELL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTY RUSSO PHD (MBR)
(813) 444-3498
Entity
Organization
Contact information
Practice address
701 W AZEELE ST STE A, TAMPA, FL 33606-2337
(813) 444-3498
Mailing address
701 W AZEELE ST STE A, TAMPA, FL 33606-2337
(813) 444-3498
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
06/15/2026
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