MINDGLOW PSYCHIATRY PLLC
NPI 1629875711
Nurse Practitioner - Psychiatric/Mental Health in Miami, FL
Active since February 26, 2025
About Mindglow Psychiatry Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINDGLOW PSYCHIATRY PLLC (NPI 1629875711) is a healthcare organization registered as a psychiatric/mental health in Miami, Florida and active in the NPI registry since February 2025. The organization lists Obunadike Mbanugo, Ceo, as its authorized official.
NPPES Registry Identity
NPI1629875711
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMINDGLOW PSYCHIATRY PLLC
Location Address10315 SW 181ST STMiami, FL 33157-5398
Mailing Address10315 Sw 181st StMiami, FL 33157-5398 · (305) 905-0233
Phone(305) 905-0233
Organization SubpartNo
Authorized OfficialObunadike MbanugoCeo · (305) 905-0233
Enumeration DateFebruary 26, 2025
NPPES CertifiedFebruary 26, 2025
✔ NPI 1629875711 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
10315 SW 181ST ST, Miami, FL 33157
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629875711, enumerated as an "organization" on February 26, 2025.
The provider is located at 10315 SW 181ST ST MIAMI, FL 33157 and the phone number is (305) 905-0233.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
