Organization
BROKEN ROADS MENTAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA WATERBURY APRN (OWNER)
(772) 249-2597
Entity
Organization
Contact information
Practice address
1680 SW BAYSHORE BLVD STE 107, PORT ST LUCIE, FL 34984-3518
(772) 249-2597
Mailing address
1680 SW BAYSHORE BLVD STE 107, PORT ST LUCIE, FL 34984-3518
(772) 249-2597
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/30/2024
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