Human Roots Integrative Psychiatry Pllc

Psychiatry · Ponte Vedra, FL

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At a glance

425 Town Plaza Ave, Ponte Vedra, FL 32081

NPPES record updated Feb 27, 2025. Public records can lag behind changes at a practice.

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Practice location

425 Town Plaza Ave
Ponte Vedra, FL 32081

Professional details: NPI, taxonomy & registry record

NPI1861299745

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Registry details

Primary taxonomy: Psychiatry
Taxonomy code: 2084P0800X
Enumeration date: Feb 27, 2025
Record updated: Feb 27, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Psychiatry

2084P0800X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

425 Town Plaza Ave
Ponte Vedra, FL 32081

Phone: (877) 595-7668
Fax: (877) 595-7570

Mailing address

425 TOWN PLAZA AVE

PONTE VEDRA, FL 32081

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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