Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Broken Roads Mental Health, LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1164259974

Broken Roads Mental Health, LLC is a Psychiatric/Mental Health Nurse Practitioner in Port St Lucie, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1680 SW Bayshore Blvd Ste 107
Port St Lucie, FL 34984-3518
Phone: (772) 249-2597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1164259974
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sara Waterbury — Owner · (772) 249-2597
NPI enumeratedSeptember 16, 2024
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024
Mailing address1680 Sw Bayshore Blvd Ste 107, Port St Lucie, FL 34984-3518

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