Healthcare Provider Details

I. General information

NPI: 1437085339
Provider Name (Legal Business Name): MINDFUL HEALING MENTAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6603 TRAVELER RD
WEST PALM BEACH FL
33411-6429
US

IV. Provider business mailing address

6603 TRAVELER RD
WEST PALM BEACH FL
33411-6429
US

V. Phone/Fax

Practice location:
  • Phone: 562-453-5220
  • Fax:
Mailing address:
  • Phone: 562-453-5220
  • 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: ASTRUDE CHARLES
Title or Position: OWNER
Credential:
Phone: 562-453-5220