Organization
ACTIVE WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CARPENTER HERRING LCSW (OWNER)
(386) 397-0696
Entity
Organization
Contact information
Practice address
605 S MAIN ST, TRENTON, FL 32693-3236
(386) 961-9616
Mailing address
605 S MAIN ST, TRENTON, FL 32693-3236
(386) 961-9616
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
12/16/2025
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