# MINDFUL NP IN PSYCHIATRY PLLC

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

## Provider details

- **NPI number:** 1558178764
- **Authorized official:** CASSANDRA FORTUNE (PMHNP-C)
- **Authorized official phone:** (845) 659-4508

## Contact information

- **Practice address:** 5 LAURA RD, MONROE, NY 10950-5206
- **Practice address phone:** (845) 659-4508
- **Practice address fax:** (845) 654-8645
- **Mailing address:** 5 LAURA RD, MONROE, NY 10950-5206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2024
- **Last updated:** 01/14/2026