Healthcare Provider Details

I. General information

NPI: 1780591636
Provider Name (Legal Business Name): THE NURTURED MIND, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 ROSSO DRIVE
DAVENPORT FL
33837
US

IV. Provider business mailing address

PO BOX 351
LOUGHMAN FL
33858-0351
US

V. Phone/Fax

Practice location:
  • Phone: 863-604-2216
  • Fax:
Mailing address:
  • Phone: 863-604-2216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. ASHLEY DIANE KURNS
Title or Position: PRESIDENT & FOUNDER
Credential: PH.D, LMHC-QS
Phone: 863-604-2216