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MINDSET & RECOVERY DIVERSIFIED LLC
NPI 1518792365
Nurse Practitioner - Psychiatric/Mental Health in Port St Lucie, FL

Active since September 03, 2024
6633 WOODS ISLAND CIR APT 206, PORT ST LUCIE, FL 34952(772) 208-8734(772) 667-5186 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mindset & Recovery Diversified Llc NPPES

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

MINDSET & RECOVERY DIVERSIFIED LLC (NPI 1518792365) is a healthcare organization registered as a psychiatric/mental health in Port St Lucie, Florida and active in the NPI registry since September 2024. The organization lists Khatriena D Johnson, Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1518792365
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMINDSET & RECOVERY DIVERSIFIED LLC
Location Address6633 WOODS ISLAND CIR APT 206Port St Lucie, FL 34952-1475
Mailing Address11582 Sw Village Pkwy # 1262Port St Lucie, FL 34987-2392 · (772) 208-8734
Phone(772) 208-8734
Fax(772) 667-5186
Organization SubpartNo
Authorized OfficialKhatriena D JohnsonPmhnp-bc · (772) 208-8734
Enumeration DateSeptember 3, 2024
NPPES CertifiedSeptember 3, 2024
✔ NPI 1518792365 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
6633 WOODS ISLAND CIR APT 206, Port St Lucie, FL 34952
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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 Mindset & Recovery Diversified LLC's NPI number?

The NPI number for Mindset & Recovery Diversified LLC is 1518792365. It was assigned to this organization in the NPPES registry on September 3, 2024.

Where is Mindset & Recovery Diversified LLC located?

Mindset & Recovery Diversified LLC is located at 6633 Woods Island Cir Apt 206, Port St Lucie, FL 34952. The listed phone number is (772) 208-8734.

What is Mindset & Recovery Diversified 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 Mindset & Recovery Diversified LLC was last updated on September 3, 2024. 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.