CBA ELITE MIND & BODY CARE LLC NPI 1417898164

NPI Information

  • NPI: 1417898164
  • Provider Name: CBA ELITE MIND & BODY CARE, LLC
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • Address: 1142 SW SUDDER AVE
    PORT SAINT LUCIE, FL
    ZIP 34953
  • Phone: (413) 745-3149

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NPI Details

CBA ELITE MIND & BODY CARE, LLC is a psychiatry psychiatry neurology in Port Saint Lucie, FL. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. CBA ELITE MIND & BODY CARE, LLC NPI is 1417898164. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1142 SW SUDDER AVE
PORT SAINT LUCIE, FL
ZIP 34953-419
Phone: (413) 745-3149

The provider's authorized official is Claudy Bonne Annee .
The authorized official title is Md and has the following contact phone number (413) 735-3149.

The enumeration date for this NPI number is 4/4/2026 and was last updated on 4/4/2026.

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
1363LF0000XNurse PractitionerFamilyNo
22084P0800XPsychiatry & NeurologyPsychiatryYes

What is NPI?

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This page was last updated on: 11/21/2025

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