MEDICARE: CONQUER MIND

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1518802172
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONQUER MIND

Provider Business Mailing Address
First Line	:	8424 NATIONAL DR
Second Line	:
City	:	PORT RICHEY
State	:	FL
Zip	:	34668-3332
Country	:	US
Telephone Number	:	727-309-2006
Fax Number	:

Provider Business Practice Location Address
First Line	:	8424 NATIONAL DR
Second Line	:
City	:	PORT RICHEY
State	:	FL
Zip	:	34668-3332
Country	:	US
Telephone Number	:	727-309-2006
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CHRISTOPHER EDWARDS
Credential	:	LMHC
Telephone Number	:	727-309-2006

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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Directions to “CONQUER MIND ” Practice Location

Language	Start Address	Practice Location

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