CHANGE OF MIND LLC
NPI 1811443195
Counselor - Mental Health in Port St Lucie, FL

Active since August 28, 2016
314 N.W. BETHANY DR, PORT ST LUCIE, FL 34986(772) 284-6030(772) 252-5746 Get Directions Write a Review

NPPES record last updated: December 20, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 20, 2018, Sep 13, 2017, Aug 28, 2016 (3 updates tracked since 2016).

About Change Of Mind Llc NPPES

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

CHANGE OF MIND LLC (NPI 1811443195) is a healthcare organization registered as a mental health in Port St Lucie, Florida and active in the NPI registry since August 2016. The organization maintains a secondary practice location in Port St Lucie and lists Eric R Leever, Owner, as its authorized official.

NPPES Registry Identity

NPI1811443195
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCHANGE OF MIND LLC
Location Address314 N.W. BETHANY DRPort St Lucie, FL 34986
Mailing Address314 N.w. Bethany DrPort St Lucie, FL 34986 · (772) 284-6030 · Fax (772) 252-5746
Fax(772) 252-5746
Organization SubpartNo
Authorized OfficialEric R LeeverOwner · (772) 284-6030
Enumeration DateAugust 28, 2016
Last NPPES UpdateDecember 20, 20183 updates tracked since enumeration
NPI 1811443195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · MH10303
314 N.W. BETHANY DR, Port St Lucie, FL 34986

Secondary Practice Location 1

Location 1134 NW BETHANY DRPORT ST LUCIE, FL 34986 · Phone (772) 233-9982 · Fax (772) 777-2855

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

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
314 N.W. BETHANY DR
PORT ST. LUCIE, FL 34986

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811443195, enumerated as an "organization" on August 28, 2016.

The provider is located at 314 N.W. BETHANY DR PORT ST LUCIE, FL 34986 and the phone number is (772) 284-6030.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Ambetter Health, Ambetter of Alabama, Florida Blue. Please consult your insurance carrier or call the provider to verify.