OrganizationActive
A Mindfulness Space
NPI 1073357745 · Adult Mental Health Clinic/Center · St Petersburg, FL
Provider details
- NPI number
- 1073357745
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Virmarie Diaz Fernandez, Psychiatrist/Owner(352) 339-6299
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
7901 4th St N Ste 18631
St Petersburg, FL 33702-4305
Phone: (386) 961-4006
Fax: (402) 235-4945
Approximate (ZIP-level) locationGet directions
Mailing address
7901 4th St N Ste 18631
St Petersburg, FL 33702-4305
Registry dates
- Enumerated
- 2024-06-19
- Last updated
- 2024-06-19
- Certified
- 2024-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.