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Active NPI 1962997015 Organization (Entity Type 2)

Evermind Llc

Marriage & Family Therapist • Saint Cloud, FL

About Evermind Llc NPI 1962997015 Summary

Evermind Llc is a verified healthcare organization specializing in Marriage & Family Therapist operating in Saint Cloud, FL. Located at 4101 NEPTUNE RD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1962997015.

Administrative operations and authorized compliance are overseen by Jillian Gatz (Provider).

Facility Location & Contact Primary Location

Facility Address

4101 Neptune Rd

Saint Cloud, FL 347696754

Telephone 3212237070

Authorized Official Information

Authorized Contact Name

MRS. Jillian Gatz , LMFT

Title / Role

Provider

Official Telephone

3212237070

Facility Classifications & Specialties

Marriage & Family Therapist Primary Taxonomy

NUCC Taxonomy Code: 106H00000X

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active June 29, 2018

NPI status registered as active in NPPES database

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Updated Practice Location June 29, 2018

Registered at 4101 NEPTUNE RD, SAINT CLOUD, FL 347696754 (Tel: 3212237070)

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Updated Business Mailing Address June 29, 2018

Registered at 4296 SASHA TRL, SAINT CLOUD, FL 347728869 (Tel: 3212237070)

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Organization / Clinic Name Updated June 29, 2018

Operating as EVERMIND LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2018

Marriage & Family Therapist (License #MT3287 in FL)

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Initial NPI Registration & Enumeration June 29, 2018

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1962997015
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: June 29, 2018
Last Update: June 29, 2018

Mailing Address

4296 Sasha Trl

Saint Cloud, FL 347728869

Phone: 3212237070

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.