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General NPI Number Information
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NPI Number | 1861344822
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Entity Type | Organization
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Legal Business Name | MINDFUL HAVEN
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 7901 4TH ST N STE 300
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4399
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Country | US
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Telephone | 754-280-1389
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Fax |
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Provider Business Mailing Address
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Address Line | 5172 SW 137TH TER
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City | MIRAMAR
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State | FL
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Zip | 33027-5903
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Country | US
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Telephone | 571-282-5999
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Fax |
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Authorized Official
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Title or Position | CLLINICAL PSYCHOLOGIST
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Name | DR. SULIVETTE NATER-HENRANDEZ
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Credential | PSYD
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Telephone | 571-282-5999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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