Healthcare Provider Details

I. General information

NPI: 1457262537
Provider Name (Legal Business Name): LEVEL MIND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13111 ROYAL PINES AVE
RIVERVIEW FL
33579-9323
US

IV. Provider business mailing address

13111 ROYAL PINES AVE
RIVERVIEW FL
33579-9323
US

V. Phone/Fax

Practice location:
  • Phone: 656-218-5690
  • Fax: 656-400-5764
Mailing address:
  • Phone: 656-218-5690
  • Fax: 656-400-5764

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: RAINA NORRIS
Title or Position: OWNER
Credential: PMHNP
Phone: 656-218-5690