Organization
MYND MGMT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE SPENCE PMHNP-BC (OWNER)
(765) 684-4979
Entity
Organization
Contact information
Practice address
5 EXECUTIVE DR STE C2, LAFAYETTE, IN 47905-4867
(765) 684-4979
(765) 274-0243
Mailing address
11048 E 675 N, OTTERBEIN, IN 47970-8023
(765) 684-4979
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
04/15/2025
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