Healthcare Provider Details

I. General information

NPI: 1750069548
Provider Name (Legal Business Name): PUT YOUR MIND AT EASE THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2023
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

616 DORANDO CT
MARCO ISLAND FL
34145-1912
US

IV. Provider business mailing address

7 HILLS END LN
WESTON CT
06883-1340
US

V. Phone/Fax

Practice location:
  • Phone: 239-297-4582
  • Fax:
Mailing address:
  • Phone:
  • 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: THERESA BROWN
Title or Position: OWNER/MANAGER
Credential: LCSW
Phone: 239-297-4582