Mental Wealth Tribe, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MENTAL WEALTH TRIBE, LLC

Practice address

121 Webb Dr Ste 212
Davenport, FL 33837-3904

Phone

(863) 866-0909

NPI assigned

Jun 17, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Yasmine Dominique-Merveus, MSW

Title

Owner

Phone

(863) 866-0909

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669248000000",
    "number": "1245809912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 WEBB DR STE 212",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373904",
            "telephone_number": "863-866-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 WEBB DR STE 212",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338373904",
            "telephone_number": "863-866-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL WEALTH TRIBE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2022-11-24",
        "certification_date": "2022-11-24",
        "status": "A",
        "authorized_official_last_name": "DOMINIQUE-MERVEUS",
        "authorized_official_first_name": "YASMINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-866-0909",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen D Melendez Torres
• Michelle Luanne Melver, COTA
• Daylis Mendez Rodriguez
• Lina Marcela Mendez-Agudelo, MS, NCC
• Dayana Mendoza, BACB559118
• Lisa Beatrice Meotti, MSW
• Elizabeth Mercado Hernandez, LCSW
• Merges Medical Services
• Oleg Merges, MD
• Michelle Mersch, DO

• Clinical Social Worker in Davenport, FL
• Providers in Davenport, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2022; 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.