# MIND AND WELLNESS HEALTHCARE SERVICES

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

## Provider details

- **NPI number:** 1427819762
- **Authorized official:** MANOUCHKA MILDOR PMHNP (NP)
- **Authorized official phone:** (561) 258-4867

## Contact information

- **Practice address:** 5700 LAKE WORTH RD STE 209-8, GREENACRES, FL 33463-3275
- **Practice address phone:** (561) 856-4285
- **Mailing address:** 11223 46TH PL N, WEST PALM BEACH, FL 33411-9137
- **Mailing address phone:** (156) 185-6428

## 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:** 01/23/2024
- **Last updated:** 01/23/2024