Mind-Fully-Yours Recovery & Wellness

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

Legal business name

MIND-FULLY-YOURS RECOVERY & WELLNESS

Practice address

977 SW College Park Rd
Port St Lucie, FL 34953-5869

Phone

(305) 336-2162

NPI assigned

Sep 13, 2024

Organization subpart

No

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

Authorized official

Name

Maxine Reeves Davis, PMHNPNPI 1295478733

Title

Nurse Practitioner

Phone

(305) 336-2162

Specialties & licenses 1

Addresses

Practitioners 1

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

• Maxine Reeves Davis

  • Psychiatric/Mental Health Nurse Practitioner
  • Indiantown, FL
  • NPI 1295478733

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1023844255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "977 SW COLLEGE PARK RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349535869",
            "telephone_number": "305-336-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 SW COLLEGE PARK RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349535869",
            "telephone_number": "305-336-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND-FULLY-YOURS RECOVERY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "REEVES DAVIS",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "305-336-2162",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah K Milling, PA
• Sonia Mills
• Ashley Rose Milonopoulos
• Mind & Body Counseling Institute
• Mind Joy Psychiatry LLC
• Mindful Ascend Integrative Counseling
• Mindful Eye Healthcare LLC
• Mindful Health Services LLC
• Mindful Medical and Health Services LLC
• Ginette Mindor

• Psychiatric/Mental Health Registered Nurse in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Psychiatric/Mental Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.