Healthcare Provider Details
I. General information
NPI: 1841117348
Provider Name (Legal Business Name): MIND & BODY HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8735 BRIGGS MARSH CT
NEW PORT RICHEY FL
34654-4595
US
IV. Provider business mailing address
8735 BRIGGS MARSH CT
NEW PRT RCHY FL
34654-4595
US
V. Phone/Fax
- Phone: 727-243-4988
- Fax:
- Phone: 727-243-4988
- 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: MRS.
MELISSA
JOY
REED
Title or Position: PROVIDER
Credential: APRN
Phone: 727-243-4988