# MIND SANCTUARY RECOVERY & PSYCHIATRY

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

## Provider details

- **NPI number:** 1639016983
- **Authorized official:** HEATHER JOHNSON APRN (PMHNP)
- **Authorized official phone:** (407) 729-9870

## Contact information

- **Practice address:** 100 E NEW YORK AVE STE 103, DELAND, FL 32724-5576
- **Practice address phone:** (689) 710-9530
- **Practice address fax:** (386) 218-0570
- **Mailing address:** 100 E NEW YORK AVE STE 103, DELAND, FL 32724-5576
- **Mailing address phone:** (689) 710-9530
- **Mailing address fax:** (386) 218-0570

## 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:** 05/04/2026
- **Last updated:** 08/12/2026