# MINDBROOK PSYCHIATRY LLC

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

## Provider details

- **NPI number:** 1669248670
- **Authorized official:** MANITA SHRESTHA DNP, PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (201) 374-7881

## Contact information

- **Practice address:** 14505 BRUCE B DOWNS BLVD, TAMPA, FL 33613-2789
- **Practice address phone:** (813) 680-2207
- **Mailing address:** 29749 PICANA LN, WESLEY CHAPEL, FL 33543-6652
- **Mailing address phone:** (917) 538-1546

## 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:** 11/30/2023
- **Last updated:** 05/28/2026