# MIND BODY SOUL AND SPIRIT MBSS

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

## Provider details

- **NPI number:** 1184438350
- **Authorized official:** VERONA ESTELLA HAUGHTON NP (OWNER)
- **Authorized official phone:** (321) 244-7067

## Contact information

- **Practice address:** 2269 HIALEAH ST NE, PALM BAY, FL 32907-2650
- **Practice address phone:** (321) 244-7067
- **Mailing address:** 2269 HIALEAH ST NE, PALM BAY, FL 32907-2650
- **Mailing address phone:** (321) 244-7067

## Taxonomy

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

## Other

- **Enumeration date:** 02/06/2025
- **Last updated:** 08/15/2025