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

Evergreen Mindcare, LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1174473029

Evergreen Mindcare, LLC is a Psychiatric/Mental Health Nurse Practitioner in Miramar, Florida. Registered with an NPI since 2026.

In the registry since
2026
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

4595 SW 125th Ln
Miramar, FL 33027-3131
Phone: (954) 256-4502
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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 number1174473029
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenessy Gonzalez — Owner · (954) 256-4502
NPI enumeratedJanuary 30, 2026
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026
Mailing address4595 Sw 125th Ln, Miramar, FL 33027-3131

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