| Uniq Mind & Wellness Llc | |
|
975 Imperial Golf Course Blvd Ste 113 Naples FL 34110-1088 | |
| (239) 422-6810 | |
| (833) 818-0145 |
| Full Name | Uniq Mind & Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 975 Imperial Golf Course Blvd Ste 113, Naples, Florida |
| Authorized Official Name and Position | Melanie A Orben (OWNER) |
| Authorized Official Contact | 2394226810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uniq Mind & Wellness Llc 975 Imperial Golf Course Blvd Ste 113 Naples FL 34110-1088 Ph: (239) 422-6810 | Uniq Mind & Wellness Llc 975 Imperial Golf Course Blvd Ste 113 Naples FL 34110-1088 Ph: (239) 422-6810 |
| NPI Number | 1477214054 |
|---|---|
| Provider Enumeration Date | 01/05/2022 |
| Last Update Date | 05/12/2024 |
| Certification Date | 05/12/2024 |
| Medicare PECOS PAC ID | 4385028950 |
|---|---|
| Medicare Enrollment ID | O20220831000607 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477214054 | NPI | - | NPPES |
| 114829900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Shelley Tressa Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033502513 PECOS PAC ID: 8022320589 Enrollment ID: I20150713000279 |
| Provider Name | Harvey Harris Shapiro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578577961 PECOS PAC ID: 8325025877 Enrollment ID: I20171005001159 |
| Provider Name | Melanie Orben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669982377 PECOS PAC ID: 5496015950 Enrollment ID: I20180201002756 |
| Provider Name | Mary Anita Miller Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952879595 PECOS PAC ID: 0547506495 Enrollment ID: I20190114001588 |
| Provider Name | Nicole Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902525157 PECOS PAC ID: 0345604096 Enrollment ID: I20230913002158 |
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