Organization
MINDSTRIVE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JERIECE LOVELACE (NP)
(772) 275-6409
Entity
Organization
Contact information
Practice address
1860 SW FOUNTAINVIEW BLVD # 1045, PORT ST LUCIE, FL 34986-4535
(772) 275-6409
Mailing address
1860 SW FOUNTAINVIEW BLVD # 1045, PORT ST LUCIE, FL 34986-4535
(772) 275-6409
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/08/2025
Last updated
12/17/2025
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