Organization
SACRED MIND PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHLALONA SCIPPIO PMHNP (ARNP)
(386) 623-1198
Entity
Organization
Contact information
Practice address
4255 SW CAMBRIDGE GLN, LAKE CITY, FL 32024-3431
(386) 623-1198
Mailing address
PO BOX 2666, LAKE CITY, FL 32056-2666
(386) 623-1198
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2025
Last updated
08/24/2025
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