1. Home
  2. Directory
  3. Florida
  4. Tavares
  5. Nurse Practitioner
  6. NPI Profile

CENTERED MIND HEALTH LLC
NPI 1417725185
Nurse Practitioner - Psychiatric/Mental Health in Tavares, FL

Active since December 12, 2023
2054 CLASSIQUE LN, TAVARES, FL 32778(407) 913-4974 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Centered Mind Health Llc NPPES

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

CENTERED MIND HEALTH LLC (NPI 1417725185) is a healthcare organization registered as a psychiatric/mental health in Tavares, Florida and active in the NPI registry since December 2023. The organization lists Susan Wambui Gray, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417725185
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCENTERED MIND HEALTH LLC
Location Address2054 CLASSIQUE LNTavares, FL 32778-5787
Mailing Address4630 S Kirkman Rd Ste 111Orlando, FL 32811-2833 · (407) 913-4974
Phone(407) 913-4974
Organization SubpartNo
Authorized OfficialSusan Wambui GrayCeo · (770) 912-8905
Enumeration DateDecember 12, 2023
NPPES CertifiedDecember 12, 2023
✔ NPI 1417725185 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
2054 CLASSIQUE LN, Tavares, FL 32778
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Centered Mind Health LLC's NPI number?

The NPI number for Centered Mind Health LLC is 1417725185. It was assigned to this organization in the NPPES registry on December 12, 2023.

Where is Centered Mind Health LLC located?

Centered Mind Health LLC is located at 2054 Classique Ln, Tavares, FL 32778. The listed phone number is (407) 913-4974.

What is Centered Mind Health 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 Centered Mind Health LLC was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.