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Mind Revive Psychiatry Llc
Nurse Practitioner in Auburndale, Florida
NPI 1285230185

Mind Revive Psychiatry Llc is a Nurse Practitioner based in Auburndale, FL. Mind Revive Psychiatry Llc practices in Auburndale, FL. The NPI Number for Mind Revive Psychiatry Llc is 1285230185 and holds a License No. (Florida).

The current practice location address for Mind Revive Psychiatry Llc is 1863 Skyview Dr, Auburndale, FL and can be reached out via phone at 407-561-2500. You can also correspond with Mind Revive Psychiatry Llc through the mailing address at PO BOX 640, AUBURNDALE, FL - 33823-0640 (mailing address contact number: 407-561-2500).

Location: 1863 Skyview Dr, Auburndale, FL, 33823-0640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285230185
Provider Name
Mind Revive Psychiatry Llc
Credential
Provider Entity Type
Organization
Address
1863 Skyview Dr, Auburndale, FL, 33823-0640
Phone Number
407-561-2500
Fax Number
Provider Enumeration Date
12/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1863 Skyview Dr
City
Auburndale
State
Florida
Zip
33823-5445
Phone Number
407-561-2500
Fax Number
person
Provider Business Mailing Address Details
Address
1863 Skyview Dr
City
Auburndale
State
Florida
Zip
33823-5445
Phone Number
407-561-2500
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
()
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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