Active NPI
A Balanced Mind Center for Wellness LLC
- Psychiatric/Mental Health Nurse Practitioner
- St Petersburg, FL
National Provider Identifier
1184530859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- A BALANCED MIND CENTER FOR WELLNESS LLC
- Practice address
- 7901 4TH St N
St Petersburg, FL 33702-4305 - Phone
- (561) 830-4451
- NPI assigned
- Aug 21, 2026
- Last updated
- Aug 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marva Nelson, APN
- Title
- Pmhnp/Owner
- Phone
- (347) 954-8649
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
7901 4TH St N
St Petersburg, FL 33702-4305
Mailing address
7901 4TH St N
St Petersburg, FL 33702-4305
Phone (561) 830-4451
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Jamaica, NY
- NPI 1023980687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787270400000",
"number": "1184530859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 4TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337024305",
"telephone_number": "561-830-4451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 4TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337024305",
"telephone_number": "561-830-4451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A BALANCED MIND CENTER FOR WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-21",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "MARVA",
"authorized_official_title_or_position": "PMHNP/OWNER",
"authorized_official_telephone_number": "347-954-8649",
"authorized_official_credential": "APN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.