# MINDFUL CLARITY PSYCHIATRIC SOLUTIONS, PLLC

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679375661
- **Authorized official:** MATTHEW THOMAS LEBRON APRN (MANAGER)
- **Authorized official phone:** (407) 453-3506

## Contact information

- **Practice address:** 2060 SHERWOOD FOREST DR, ORANGE CITY, FL 32763-6355
- **Practice address phone:** (407) 453-3506
- **Mailing address:** 2060 SHERWOOD FOREST DR, ORANGE CITY, FL 32763-6355
- **Mailing address phone:** (407) 453-3506

## Taxonomy

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

## Other

- **Enumeration date:** 03/27/2025
- **Last updated:** 03/27/2025