Organization
MINDGLOW MENTAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANRE B OLANREWAJU (OWNER)
(317) 496-7726
Entity
Organization
Contact information
Practice address
610 N HIGH SCHOOL RD STE B, INDIANAPOLIS, IN 46214-3663
(317) 496-7726
(317) 496-7726
Mailing address
3410 N HIGH SCHOOL RD, SUIT G, PMB 1108, INDIANAPOLIS, IN 46224
(317) 496-7726
(317) 496-7726
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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