Healthcare Provider Details
I. General information
NPI: 1174433452
Provider Name (Legal Business Name): 4 ALL MINDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
600 HERITAGE DR STE 210
JUPITER FL
33458-3097
US
IV. Provider business mailing address
8394 154TH CT N
PALM BEACH GARDENS FL
33418-7307
US
V. Phone/Fax
- Phone: 561-788-0441
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ERIN
SMITH
Title or Position: OWNER
Credential: APRN
Phone: 561-788-0441