MIND-FULLY-YOURS RECOVERY & WELLNESS NPI 1023844255

NPI Information

  • NPI: 1023844255
  • Provider Name: MIND-FULLY-YOURS RECOVERY & WELLNESS
  • Classification: Registered Nurse - 163WP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 977 SW COLLEGE PARK RD
    PORT ST LUCIE, FL
    ZIP 34953
  • Phone: (305) 336-2162

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NPI Details

MIND-FULLY-YOURS RECOVERY & WELLNESS is a psychiatric/mental health registered nurse in Port St Lucie, FL. MIND-FULLY-YOURS RECOVERY & WELLNESS NPI is 1023844255. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

977 SW COLLEGE PARK RD
PORT ST LUCIE, FL
ZIP 34953-869
Phone: (305) 336-2162

The provider's authorized official is Maxine Reeves Davis .
The authorized official title is Nurse Practitioner and has the following contact phone number (305) 336-2162.

The enumeration date for this NPI number is 9/13/2024 and was last updated on 12/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WP0808XRegistered NursePsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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