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

Cba Elite Mind & Body Care, LLC

Organization Psychiatry Physician · NPI 1417898164

Cba Elite Mind & Body Care, LLC is a Psychiatry Physician in Port Saint Lucie, Florida. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
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

1142 SW Sudder Ave
Port Saint Lucie, FL 34953-1419
Phone: (413) 745-3149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1417898164
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Claudy Bonne Annee — Md · (413) 735-3149
NPI enumeratedApril 4, 2026
Last updated in NPPESApril 4, 2026
Certification dateApril 4, 2026
Mailing address1729 Nw Saint Lucie West Blvd # 1253, Port Saint Lucie, FL 34986-2501

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