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

Nourish Your Mind, LLC

Organization Clinical Social Worker · NPI 1649707555

Nourish Your Mind, LLC is a Clinical Social Worker in Monroe, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
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

360 State Route 17M Ste 4
Monroe, NY 10950-3444
Phone: (845) 547-0479
Fax: (845) 547-0479
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 085591 (NY)

Record details

NPI number1649707555
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Sullivan — Owner · (845) 547-0479
NPI enumeratedMay 23, 2017
Last updated in NPPESJuly 21, 2022
Mailing address360 State Route 17m Ste 4, Monroe, NY 10950-3444

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