Healthcare Provider Details

I. General information

NPI: 1770406506
Provider Name (Legal Business Name): TREASURE COAST MENTAL HEALTH & WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2119 SW DANFORTH CIR
PALM CITY FL
34990-7706
US

IV. Provider business mailing address

770 SE INDIAN ST
STUART FL
34997-5604
US

V. Phone/Fax

Practice location:
  • Phone: 772-905-7581
  • Fax:
Mailing address:
  • Phone: 772-905-7581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: RACHEL ROSS
Title or Position: LCSW
Credential: LCSW
Phone: 772-905-7581