Healthcare Provider Details

I. General information

NPI: 1124797600
Provider Name (Legal Business Name): WALK IN FAMILY PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2021
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2013 LIVE OAK BLVD STE C
SAINT CLOUD FL
34771-8410
US

IV. Provider business mailing address

2013 LIVE OAK BLVD STE C
SAINT CLOUD FL
34771-8410
US

V. Phone/Fax

Practice location:
  • Phone: 407-593-2388
  • Fax: 407-596-2392
Mailing address:
  • Phone: 407-593-2388
  • Fax: 407-596-2392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MICHELIE LEVRIER
Title or Position: OWNER
Credential:
Phone: 407-593-2388