Organization
MIND BODY SOUL AND SPIRIT MBSS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONA ESTELLA HAUGHTON NP (OWNER)
(321) 244-7067
Entity
Organization
Contact information
Practice address
2269 HIALEAH ST NE, PALM BAY, FL 32907-2650
(321) 244-7067
Mailing address
2269 HIALEAH ST NE, PALM BAY, FL 32907-2650
(321) 244-7067
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
08/15/2025
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