| Sacred Mind Psychiatry Llc | |
|
4255 Sw Cambridge Gln Lake City FL 32024-3431 | |
| (386) 623-1198 | |
| Not Available |
| Full Name | Sacred Mind Psychiatry Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 4255 Sw Cambridge Gln, Lake City, Florida |
| Authorized Official Name and Position | Michlalona Scippio (ARNP) |
| Authorized Official Contact | 3866231198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Mind Psychiatry Llc Po Box 2666 Lake City FL 32056-2666 Ph: (386) 623-1198 | Sacred Mind Psychiatry Llc 4255 Sw Cambridge Gln Lake City FL 32024-3431 Ph: (386) 623-1198 |
| NPI Number | 1003794678 |
|---|---|
| Provider Enumeration Date | 08/22/2025 |
| Last Update Date | 08/24/2025 |
| Certification Date | 08/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003794678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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