# HEALTHY MINDZ

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

## Provider details

- **NPI number:** 1821771395
- **Authorized official:** TAMMY EWING ARNP (NURSE PRACTIONER)
- **Authorized official phone:** (954) 816-0273

## Contact information

- **Practice address:** 14201 W SUNRISE BLVD STE 208, SUNRISE, FL 33323-3207
- **Practice address phone:** (954) 816-0273
- **Practice address fax:** (866) 900-1122
- **Mailing address:** 11301 NW 31ST ST, SUNRISE, FL 33323-1401
- **Mailing address phone:** (954) 816-0273
- **Mailing address fax:** (866) 900-1122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | — | NULL | Yes |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2023
- **Last updated:** 12/17/2024