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Organization
MIND MECHANIC MENTAL HEALTH SERVICES LLC
Active
Organization
MIND MECHANIC MENTAL HEALTH SERVICES LLC
Active
Other names
Mind Mechanic mental health Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL ROUSSEAU PMHNP-C (OWNER)
(786) 563-2161
Entity
Organization
Contact information
Practice address
7901 4TH ST N # 25598, ST PETERSBURG, FL 33702-4305
(786) 487-2612
Mailing address
7901 4TH ST N # 25598, ST PETERSBURG, FL 33702-4305
(786) 487-2612
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/12/2025
Last updated
04/14/2025
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