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Organization
MINDFUL CLARITY PSYCHIATRIC SOLUTIONS, PLLC
Active
Organization
MINDFUL CLARITY PSYCHIATRIC SOLUTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW THOMAS LEBRON APRN (MANAGER)
(407) 453-3506
Entity
Organization
Contact information
Practice address
2060 SHERWOOD FOREST DR, ORANGE CITY, FL 32763-6355
(407) 453-3506
Mailing address
2060 SHERWOOD FOREST DR, ORANGE CITY, FL 32763-6355
(407) 453-3506
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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