Organization
DIVERSE MIND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE WIJANGCO FNP (OWNER)
(702) 830-0615
Entity
Organization
Contact information
Practice address
8872 S EASTERN AVE STE 265, LAS VEGAS, NV 89123-0009
(702) 830-0615
Mailing address
8872 S EASTERN AVE STE 265, LAS VEGAS, NV 89123-0009
(702) 830-0615
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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