# MINDFUL CARE NP IN PSYCHIATRY AND NP IN ADULT HEALTH PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174380141
- **Authorized official:** ERICKA DEADWYLER-GOURGUE NP (OWNER)
- **Authorized official phone:** (929) 274-5188

## Contact information

- **Practice address:** 571 E 19TH ST APT 6B, BROOKLYN, NY 11226-7674
- **Practice address phone:** (929) 322-1924
- **Mailing address:** 571 E 19TH ST APT 6B, BROOKLYN, NY 11226-7674
- **Mailing address phone:** (929) 274-5188
- **Mailing address fax:** (929) 274-5330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/05/2024
- **Last updated:** 05/12/2025