MILD MOOD THERAPY LLC NPI 1760374375

NPI Information

  • NPI: 1760374375
  • Provider Name: MILD MOOD THERAPY, LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 2313 ROYAL PALM DR NE
    PALM BAY, FL
    ZIP 32905
  • Phone: (321) 367-5940

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NPI Details

MILD MOOD THERAPY, LLC is a mental health counselor in Palm Bay, FL. MILD MOOD THERAPY, LLC NPI is 1760374375. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2313 ROYAL PALM DR NE
PALM BAY, FL
ZIP 32905-315
Phone: (321) 367-5940

The provider's authorized official is Bianca Lauren Rucker .
The authorized official title is Owner and has the following contact phone number (321) 367-5940.

The enumeration date for this NPI number is 7/17/2025 and was last updated on 7/17/2025.

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
1101YM0800XCounselorMental 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: 11/21/2025

NPI Synchronization or Removal

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