Mind Resolutions Clinical Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MIND RESOLUTIONS CLINICAL SERVICES, LLC

Practice address

2006 S 10TH St Apt D
Fort Pierce, FL 34950-5341

Phone

(772) 216-3270

NPI assigned

Mar 9, 2021

Organization subpart

No

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

Authorized official

Name

Sade Blackshear, LMHCNPI 1790170892

Title

Owner/Manager

Phone

(772) 216-3270

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Sade Blackshear, LMHC

  • Mental Health Counselor
  • Stuart, FL
  • NPI 1790170892
  NPD Authorized official

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1487249652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 S 10TH ST APT D",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349505341",
            "telephone_number": "772-216-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 S 10TH ST APT D",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349505341",
            "telephone_number": "772-216-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND RESOLUTIONS CLINICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "BLACKSHEAR",
        "authorized_official_first_name": "SADE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "772-216-3270",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mindresolutionsclinicalservices.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2006 S 10th St Apt D",
            "city": "Fort Pierce",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349505341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hannah Millard, OTR/L
• Katrina Miller, COTA/L
• Kristen Sims Miller, CRNA
• Nancy Delva Miller, MSHS
• Taefa Millsjohnson
• Mindful Connections Behavioral Therapy LLC
• Christopher Scott Mings, PA, ATC
• Camilla Minus
• Beverly Esmeralda Miranda
• Jose Miro

• Mental Health Counselor in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.