Organization
OPEN AIR WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J ANSLEY LCSW (OWNER)
(772) 321-9180
Entity
Organization
Contact information
Practice address
333 1ST ST N STE 200, JACKSONVILLE BEACH, FL 32250-6939
(772) 321-9180
Mailing address
333 1ST ST N STE 200, JACKSONVILLE BEACH, FL 32250-6939
(772) 321-9180
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/01/2026
Last updated
05/04/2026
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