# LB MINDFUL WELLNESS LLC

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

## Provider details

- **NPI number:** 1861131583
- **Authorized official:** LYSSA BROOKS PMHNP (SOLE-MEMBER)
- **Authorized official phone:** (954) 600-2756

## Contact information

- **Practice address:** 7901 4TH ST N STE 300, SAINT PETERSBURG, FL 33702-4399
- **Practice address phone:** (561) 493-3212
- **Mailing address:** 980 N FEDERAL HWY STE 110, BOCA RATON, FL 33432-2704
- **Mailing address phone:** (303) 285-1117
- **Mailing address fax:** (720) 562-2940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/01/2022
- **Last updated:** 01/30/2023