Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MINDFUL RETREAT WELLNESS LLC
NPI 1679483788
Nurse Practitioner - Psychiatric/Mental Health in Miramar, FL

Active since September 10, 2026
3571 SW 93RD AVE, MIRAMAR, FL 33025(954) 856-4567 Get Directions Write a Review

NPPES record added: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Mindful Retreat Wellness Llc NPPES

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

MINDFUL RETREAT WELLNESS LLC (NPI 1679483788) is a healthcare organization registered as a psychiatric/mental health in Miramar, Florida and active in the NPI registry since September 2026. The organization lists Billy Lesperance, Owner, as its authorized official.

NPPES Registry Identity

NPI1679483788
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMINDFUL RETREAT WELLNESS LLC
Location Address3571 SW 93RD AVEMiramar, FL 33025-1746
Mailing Address3571 Sw 93rd AveMiramar, FL 33025-1746 · (954) 856-4567
Organization SubpartNo
Authorized OfficialBilly LesperanceOwner · (954) 856-4567
Enumeration DateSeptember 10, 2026
NPPES CertifiedSeptember 10, 2026
NPI 1679483788 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
3571 SW 93RD AVE, Miramar, FL 33025

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 Mindful Retreat Wellness LLC's NPI number?

The NPI number for Mindful Retreat Wellness LLC is 1679483788. It was assigned to this organization in the NPPES registry on September 10, 2026.

Where is Mindful Retreat Wellness LLC located?

Mindful Retreat Wellness LLC is located at 3571 SW 93rd Ave, Miramar, FL 33025. The listed phone number is (954) 856-4567.

What is Mindful Retreat Wellness 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 Mindful Retreat Wellness LLC was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.