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

Mindset & Recovery Diversified LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1518792365

Mindset & Recovery Diversified 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

6633 Woods Island Cir Apt 206
Port St Lucie, FL 34952-1475
Phone: (772) 208-8734
Fax: (772) 667-5186
Show map & directions

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 number1518792365
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Khatriena Johnson — Pmhnp-Bc · (772) 208-8734
NPI enumeratedSeptember 3, 2024
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024
Mailing address11582 Sw Village Pkwy # 1262, Port St Lucie, FL 34987-2392

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