Provider Demographics
NPI: | 1881482131 |
---|---|
Name: | WALK IN FAMILY PSYCHIATRY |
Entity type: | Organization |
Organization Name: | WALK IN FAMILY PSYCHIATRY |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | PMHNP BC |
Authorized Official - Prefix: | |
Authorized Official - First Name: | MICHELIE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | LEVRIER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | APRN |
Authorized Official - Phone: | 407-726-5651 |
Mailing Address - Street 1: | 2013 LIVE OAK BLVD STE C |
Mailing Address - Street 2: | |
Mailing Address - City: | SAINT CLOUD |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 34771-8410 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 407-726-5651 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2013 LIVE OAK BLVD STE C |
Practice Address - Street 2: | |
Practice Address - City: | SAINT CLOUD |
Practice Address - State: | FL |
Practice Address - Zip Code: | 34771-8410 |
Practice Address - Country: | US |
Practice Address - Phone: | 407-726-5651 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-04-28 |
Last Update Date: | 2025-07-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health | Group - Single Specialty |