Organization
NEUROWELL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTY RUSSO PHD (MBR)
(321) 321-3270
Entity
Organization
Contact information
Practice address
6900 TAVISTOCK LAKES BLVD, SUITE 400, ORLANDO, FL 32827
(321) 321-3270
Mailing address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(321) 321-3270
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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