Organization
MINDFUL CARE NP IN PSYCHIATRY AND NP IN ADULT HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICKA DEADWYLER-GOURGUE NP (OWNER)
(929) 274-5188
Entity
Organization
Contact information
Practice address
571 E 19TH ST APT 6B, BROOKLYN, NY 11226-7674
(929) 322-1924
Mailing address
571 E 19TH ST APT 6B, BROOKLYN, NY 11226-7674
(929) 274-5188
(929) 274-5330
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/05/2024
Last updated
05/12/2025
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