# CENTERED MIND HEALTH LLC

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

## Provider details

- **NPI number:** 1417725185
- **Authorized official:** SUSAN WAMBUI GRAY RN, APRN, PMHNP-BC (CEO)
- **Authorized official phone:** (770) 912-8905

## Contact information

- **Practice address:** 2054 CLASSIQUE LN, TAVARES, FL 32778-5787
- **Practice address phone:** (407) 913-4974
- **Mailing address:** 4630 S KIRKMAN RD STE 111, ORLANDO, FL 32811-2833
- **Mailing address phone:** (407) 913-4974

## 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:** 12/12/2023
- **Last updated:** 12/12/2023