Healthcare Provider Details

I. General information

NPI: 1326968975
Provider Name (Legal Business Name): ABEE PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 BARLOW CIR
PORT ORANGE FL
32127-5507
US

IV. Provider business mailing address

730 BARLOW CIR
PORT ORANGE FL
32127-5507
US

V. Phone/Fax

Practice location:
  • Phone: 386-500-7388
  • Fax:
Mailing address:
  • Phone: 386-500-7388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: AMY LYN DONNELLY
Title or Position: CFO
Credential:
Phone: 386-500-7388