Organization
CENTERED MIND HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN WAMBUI GRAY RN, APRN, PMHNP-BC (CEO)
(770) 912-8905
Entity
Organization
Contact information
Practice address
2054 CLASSIQUE LN, TAVARES, FL 32778-5787
(407) 913-4974
Mailing address
4630 S KIRKMAN RD STE 111, ORLANDO, FL 32811-2833
(407) 913-4974
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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