Mind&Mood Restoration Clinic LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MIND&MOOD RESTORATION CLINIC LLC

Practice address

521 E Mitchell Hammock Rd Ste 1101
Oviedo, FL 32765-8434

Phone

(407) 488-9604

Fax

(321) 300-1063

NPI assigned

Mar 25, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vanessa Williams, MDNPI 1801044029

Title

Owner

Phone

(407) 488-9604

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vanessa Camille Williams, M.D

  • Anesthesiology Physician
  • Titusville, FL
  • NPI 1801044029
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1003377995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 E MITCHELL HAMMOCK RD STE 1101",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658434",
            "telephone_number": "407-488-9604",
            "fax_number": "321-300-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E MITCHELL HAMMOCK RD STE 1101",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658434",
            "telephone_number": "407-488-9604",
            "fax_number": "321-300-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND&MOOD RESTORATION CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-488-9604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Miller
• Maria L Miller, MD
• Ryan Emmerson Miller, P.T.
• Tonda Marie Miller, L.M.T.
• Marina Tawadrous Mina, CCC-SLP
• Sarah Brooks Minor, PHARMD
• Mint32 Dental PLLC
• Mint32 Dental PLLC
• Makayla Miskiewicz
• Becky Elizabeth Mitchell Vaughn, ARNP

• Health Service Clinic/Center in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.