SHARDAE TRIPP COUNSELING LLC
NPI 1790525145
Nurse Practitioner - Psychiatric/Mental Health in Port St Lucie, FL

Active since May 31, 2024
5590 NW PINE TRAIL CIRCLE, PORT ST LUCIE, FL 34983(772) 418-7797 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About SHARDAE TRIPP COUNSELING LLC

This page provides the complete NPI Profile along with additional information for Shardae Tripp Counseling Llc, a provider established in Port St Lucie, Florida operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1790525145 assigned on May 2024. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Shardae Tripp Lmhc (Ceo)

NPI
1790525145 Verify this NPI
Provider Name
SHARDAE TRIPP COUNSELING LLC
Entity Type
Organization
Location Address
5590 NW PINE TRAIL CIRCLE PORT ST LUCIE, FL 34983
Location Phone
(772) 418-7797
Mailing Address
1860 SW FOUNTAINVIEW BLVD STE 100 PORT ST LUCIE, FL 34986
Mailing Phone
(772) 418-7797
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-31-2024
Last Update Date
05-31-2024
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A nurse practitioner (NP) like Shardae Tripp Counseling Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHARDAE TRIPP LMHC

Authorized Official Title
CEO
Authorized Official Phone
(772) 418-7797

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Mental Health (Including Community Mental Health Center))
5590 NW PINE TRAIL CIRCLE
PORT SAINT LUCIE, FL 34983

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790525145, enumerated as an "organization" on May 31, 2024.

The provider is located at 5590 NW PINE TRAIL CIRCLE PORT ST LUCIE, FL 34983 and the phone number is (772) 418-7797.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.