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EVERGREEN MINDCARE, LLC
NPI 1174473029
Nurse Practitioner - Psychiatric/Mental Health in Miramar, FL

Active since January 30, 2026
4595 SW 125TH LN, MIRAMAR, FL 33027(954) 256-4502 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Mindcare, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN MINDCARE, LLC (NPI 1174473029) is a healthcare organization registered as a psychiatric/mental health in Miramar, Florida and active in the NPI registry since January 2026. The organization lists Jenessy Gonzalez, Owner, as its authorized official.

NPPES Registry Identity

NPI1174473029
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameEVERGREEN MINDCARE, LLC
Location Address4595 SW 125TH LNMiramar, FL 33027-3131
Mailing Address4595 Sw 125th LnMiramar, FL 33027-3131 · (954) 256-4502
Phone(954) 256-4502
Organization SubpartNo
Authorized OfficialJenessy GonzalezOwner · (954) 256-4502
Enumeration DateJanuary 30, 2026
NPPES CertifiedJanuary 30, 2026
✔ NPI 1174473029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
4595 SW 125TH LN, Miramar, FL 33027
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Mindcare, LLC's NPI number?

The NPI number for Evergreen Mindcare, LLC is 1174473029. It was assigned to this organization in the NPPES registry on January 30, 2026.

Where is Evergreen Mindcare, LLC located?

Evergreen Mindcare, LLC is located at 4595 SW 125th Ln, Miramar, FL 33027. The listed phone number is (954) 256-4502.

What is Evergreen Mindcare, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Evergreen Mindcare, LLC was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.