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NPI Code Detail

MEDICARE: FOSTER MINDS PSYCHIATRY, LLC

MEDICARE: FOSTER MINDS PSYCHIATRY, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1407718976
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOSTER MINDS PSYCHIATRY, LLC
Provider Business Mailing Address
First Line : 34125 US HIGHWAY 19 N STE 200
Second Line :
City : PALM HARBOR
State : FL
Zip : 34684-2115
Country : US
Telephone Number : 727-435-7124
Fax Number : 727-498-0674
Provider Business Practice Location Address
First Line : 34125 US HIGHWAY 19 N STE 200
Second Line :
City : PALM HARBOR
State : FL
Zip : 34684-2115
Country : US
Telephone Number : 727-435-7124
Fax Number : 727-498-0674
Authorized Official
Title or Position : OWNER
Name : LYDIA FOSTER
Credential : APRN, PMHNP
Telephone Number : 727-485-3467
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “FOSTER MINDS PSYCHIATRY, LLC ” Practice Location

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