# PMP WELLNESS L.L.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Elevated Psychiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649045253
- **Authorized official:** IMARA BLUME PMHNP-BC (PROVIDER)
- **Authorized official phone:** (689) 290-6776

## Contact information

- **Practice address:** 346 FREEMAN ST, LONGWOOD, FL 32750-4171
- **Practice address phone:** (689) 290-6776
- **Mailing address:** 346 FREEMAN ST UNIT 210, LONGWOOD, FL 32750-4171

## 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:** 11/24/2023
- **Last updated:** 06/02/2024