Organization
FRIAR PSYCHIATRIC SERVICES LLC
Active
Other names
Pivoting Minds Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
TREVON JARROD FRIAR PMHNP-BC (OWNER)
(386) 299-0045
Entity
Organization
Contact information
Practice address
11968 BALM RIVERVIEW RD, RIVERVIEW, FL 33569-6601
(813) 819-3335
(866) 885-1512
Mailing address
11412 ACACIA GROVE LN, RIVERVIEW, FL 33579-8412
(386) 299-0045
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112746000
—
FL
Enumeration date
11/22/2021
Last updated
01/31/2024
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