# MINDGLOW PSYCHIATRY PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629875711
- **Authorized official:** OBUNADIKE MBANUGO (CEO)
- **Authorized official phone:** (305) 905-0233

## Contact information

- **Practice address:** 10315 SW 181ST ST, MIAMI, FL 33157-5398
- **Practice address phone:** (305) 905-0233
- **Mailing address:** 10315 SW 181ST ST, MIAMI, FL 33157-5398
- **Mailing address phone:** (305) 905-0233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/26/2025
- **Last updated:** 02/26/2025