Healthcare Provider Details

I. General information

NPI: 1891536439
Provider Name (Legal Business Name): MINDPATH SOLUTIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2024
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 WEBSTER ST
WILDWOOD FL
34785-3828
US

IV. Provider business mailing address

3180 HWY 27/441
FRUITLAND PARK FL
34731-4471
US

V. Phone/Fax

Practice location:
  • Phone: 352-322-2169
  • Fax:
Mailing address:
  • Phone: 352-409-6272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. KRISTIE D MURDOCK
Title or Position: PMHNP
Credential: APRN
Phone: 352-409-6272