# MIND BODY CONNECT NURSE PRACTITIONER IN PSYCHIATRY PLLC

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

## Provider details

- **NPI number:** 1831028794
- **Authorized official:** TEZRA WHITE PMHNP-BC, FNP-BC (PRESIDENT)
- **Authorized official phone:** (718) 844-2017

## Contact information

- **Practice address:** 442 LORIMER ST STE D5055, BROOKLYN, NY 11206-1030
- **Practice address phone:** (646) 718-6938
- **Practice address fax:** (929) 990-2842
- **Mailing address:** 442 LORIMER ST STE D5055, BROOKLYN, NY 11206-1030
- **Mailing address phone:** (646) 718-6938
- **Mailing address fax:** (929) 990-2842

## 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:** 05/18/2026
- **Last updated:** 05/18/2026