Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Green Wave Family Wellness Center

Organization Mental Health Counselor · NPI 1568662864

Green Wave Family Wellness Center provides Mental Health Counselor services in Panama City, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
Specialties on file
3

Practice location Address checks out

215 Forest Park Cir
Panama City, FL 32405-4916 Not confirmed with CMS for 19 years — call before visiting
Phone: (850) 215-5657
Fax: (850) 215-5658
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH 8571 (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence MH-6603 (FL)
Marriage & Family Therapist Taxonomy 106H00000X · Licence MT-0001678 (FL)

Record details

NPI number1568662864
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Cluxton — Managing Officer · (850) 215-5657
NPI enumeratedJuly 24, 2007
Last updated in NPPESJuly 24, 2007
Mailing address215 Forest Park Cir, Panama City, FL 32405-4916

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