Put Your Mind at Ease Therapy Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PUT YOUR MIND AT EASE THERAPY SERVICES, LLC

Practice address

616 Dorando CT
Marco Island, FL 34145-1912

Phone

(239) 297-4582

NPI assigned

Jul 11, 2023

Organization subpart

No

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

Authorized official

Name

Theresa Brown, LCSWNPI 1427318971

Title

Owner/Manager

Phone

(239) 297-4582

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, CT2 enrollments

Enrollment records 2

Practitioners 1

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

• Theresa Brown, LCSW

  • Clinical Social Worker
  • Marco Island, FL
  • NPI 1427318971

  CT

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1750069548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HILLS END LN",
            "city": "WESTON",
            "state": "CT",
            "postal_code": "068831340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 DORANDO CT",
            "city": "MARCO ISLAND",
            "state": "FL",
            "postal_code": "341451912",
            "telephone_number": "239-297-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUT YOUR MIND AT EASE THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "239-297-4582",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Alexandria Proctor
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• Jack Douglas Purtell
• Tairisha Rabb
• Samantha N Raffield
• Brittany Rene Rains
• Shanmuga Leelanath Rajamahendram
• Brianna Lizeth Ramirez

• Mental Health Clinic/Center (Including Community Mental Health Center) in Marco Island, FL
• Providers in Marco Island, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.