OrganizationActive
Fluid Prodigy LLC
NPI 1114887130 · Mental Health Counselor · Dover, FL
Provider details
- NPI number
- 1114887130
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Alexis Victoriano-Hutson, Owner(407) 733-6409
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
206 Archcliffe Point Pl.
Dover, FL 33527
Phone: (407) 733-6409
Approximate (ZIP-level) locationGet directions
Mailing address
3433 Lithia Pinecrest Rd Ste 337
Valrico, FL 33596-6302
Other names (DBA / former)
- Doing business as
- The Prodigy Wellness Collective
Registry dates
- Enumerated
- 2025-11-12
- Last updated
- 2026-01-20
- Certified
- 2026-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.