| Imind Mental Health Solutions | |
|
160 Nw Central Park Plz Ste 104 Port St Lucie FL 34986-1825 | |
| (772) 361-6778 | |
| Not Available |
| Full Name | Imind Mental Health Solutions |
|---|---|
| Speciality | Counselor |
| Location | 160 Nw Central Park Plz Ste 104, Port St Lucie, Florida |
| Authorized Official Name and Position | Justin Kalel Baksh (CEO) |
| Authorized Official Contact | 7726176373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imind Mental Health Solutions 160 Nw Central Park Plz Ste 105 Port St Lucie FL 34986-1825 Ph: (772) 497-5985 | Imind Mental Health Solutions 160 Nw Central Park Plz Ste 104 Port St Lucie FL 34986-1825 Ph: (772) 361-6778 |
| NPI Number | 1720759954 |
|---|---|
| Provider Enumeration Date | 09/27/2021 |
| Last Update Date | 06/01/2024 |
| Certification Date | 06/01/2024 |
| Medicare PECOS PAC ID | 4981097318 |
|---|---|
| Medicare Enrollment ID | O20220622001573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720759954 | NPI | - | NPPES |
| Provider Name | Joanna Vanvleet |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154535292 PECOS PAC ID: 0840467213 Enrollment ID: I20120607000302 |
| Provider Name | Natalie Nina Jagarnauth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215681994 PECOS PAC ID: 9436515871 Enrollment ID: I20230510000752 |
| Provider Name | Jennifer Sees |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033624002 PECOS PAC ID: 4284080060 Enrollment ID: I20231031001176 |
| Provider Name | Kenesha Shashana Ricketts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285312157 PECOS PAC ID: 4880041706 Enrollment ID: I20231114001044 |
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