Organization Active NPI

Mind Tree Wellness

  • Clinical Social Worker
  • Eagle Lake, FL
National Provider Identifier
1689581613
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MIND TREE WELLNESS
Practice address
1907 Golden Beak Dr FL 33839
Eagle Lake, FL 33839-5706
Phone
(863) 264-0639
NPI assigned
Aug 25, 2026
Last updated
Aug 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Naomi Figueroa, LCSW
Title
Manager
Phone
(863) 210-1148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1907 Golden Beak Dr FL 33839
Eagle Lake, FL 33839-5706

Mailing address

1907 Golden Beak Dr FL 33839
Eagle Lake, FL 33839-5706
Phone (863) 264-0639

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1689581613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 GOLDEN BEAK DR FL 33839",
            "city": "EAGLE LAKE",
            "state": "FL",
            "postal_code": "338395706",
            "telephone_number": "863-264-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 GOLDEN BEAK DR FL 33839",
            "city": "EAGLE LAKE",
            "state": "FL",
            "postal_code": "338395706",
            "telephone_number": "863-264-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND TREE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "863-210-1148",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Lake, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.

Verify at the official NPI Registry.