Provider Demographics
NPI:1518775618
Name:FREE YOUR MIND PSYCHIATRY, PLLC
Entity type:Organization
Organization Name:FREE YOUR MIND PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MSN, APRN, PMHNP-BC, FNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:NOVAK
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:941-725-2342
Mailing Address - Street 1:8470 ENTERPRISE CIR STE 300
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-4105
Mailing Address - Country:US
Mailing Address - Phone:941-725-2342
Mailing Address - Fax:
Practice Address - Street 1:8470 ENTERPRISE CIR STE 300
Practice Address - Street 2:
Practice Address - City:LAKEWOOD RANCH
Practice Address - State:FL
Practice Address - Zip Code:34202-4105
Practice Address - Country:US
Practice Address - Phone:941-725-2342
Practice Address - Fax:855-941-2553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-20
Last Update Date:2025-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty