| The Mindful Health Foundation | |
|
865 - 867 91st Avenue N Naples FL 34108-2426 | |
| (239) 434-6596 | |
| (239) 434-6590 |
| Full Name | The Mindful Health Foundation |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 865 - 867 91st Avenue N, Naples, Florida |
| Authorized Official Name and Position | Valerie A. Stec (C.E.O.) |
| Authorized Official Contact | 2394346596 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mindful Health Foundation 3341 Tamiami Trl N Naples FL 34103-4165 Ph: (239) 434-6596 | The Mindful Health Foundation 865 - 867 91st Avenue N Naples FL 34108-2426 Ph: (239) 434-6596 |
| NPI Number | 1053516823 |
|---|---|
| Provider Enumeration Date | 06/20/2007 |
| Last Update Date | 04/12/2023 |
| Certification Date | 04/06/2023 |
| Medicare PECOS PAC ID | 8123113750 |
|---|---|
| Medicare Enrollment ID | O20230413000396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053516823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0811AD6189-00 (Florida) | Primary |
| Provider Name | Ralph Ryback |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831146141 PECOS PAC ID: 2860439627 Enrollment ID: I20050413000345 |
| Provider Name | Pamela L Collett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144328097 PECOS PAC ID: 2466480215 Enrollment ID: I20050802000645 |
| Provider Name | Valerie A Stec |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528223229 PECOS PAC ID: 8123493715 Enrollment ID: I20230413000533 |
| Provider Name | Johanny Ortiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154027746 PECOS PAC ID: 9638534829 Enrollment ID: I20230421001109 |
| Provider Name | Doris E. Beck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093420465 PECOS PAC ID: 4688037773 Enrollment ID: I20230822002732 |
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