Organization
TRAVELING LIGHT COUNSELING INC
Active
Other names
Nourivida Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YVETTE MCDONALD LCSW (LCSW/PRESIDENT)
(772) 361-8448
Entity
Organization
Contact information
Practice address
1222 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5364
(772) 361-8448
(844) 269-6480
Mailing address
1222 SE PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34952-5364
(772) 361-8448
(844) 269-6480
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
SW12224
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013286400
—
FL
Enumeration date
12/30/2015
Last updated
11/21/2025
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