Healthcare Provider Details
I. General information
NPI: 1568284230
Provider Name (Legal Business Name): BEE MINDFUL PSYCHIATRY & WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/24/2024
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
293 W BASE ST
MADISON FL
32340-2409
US
IV. Provider business mailing address
763 NE LANTANA ST
LEE FL
32059-4619
US
V. Phone/Fax
- Phone: 850-869-1033
- Fax: 850-869-1029
- Phone: 850-673-8772
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KASEY
HUGHEY
Title or Position: OWNER
Credential: APRN
Phone: 850-673-8772