Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mandala Family Wellness LLC

Organization Psychologist · NPI 1497262620

Mandala Family Wellness LLC provides Psychologist services in Ponte Vedra Beach, Florida. Licensed in Florida. Registered with an NPI since 2018.

Licensed in
FL
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

171 Canal Blvd
Ponte Vedra Beach, FL 32082-3607
Phone: (904) 608-0782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PY7735 (FL)

Record details

NPI number1497262620
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Katherine Falwell — Ceo · (904) 521-6266
NPI enumeratedJanuary 9, 2018
Last updated in NPPESOctober 5, 2023
Certification dateAugust 22, 2023
Mailing address171 Canal Blvd, Ponte Vedra Beach, FL 32082-3607

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