Healthcare Provider Details

I. General information

NPI: 1184537987
Provider Name (Legal Business Name): WHOLEMIND MENTAL HEALTH, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1862 ADVENTURE PL
NORTH LAUDERDALE FL
33068-5437
US

IV. Provider business mailing address

7158 NW 49TH CT
LAUDERHILL FL
33319-3445
US

V. Phone/Fax

Practice location:
  • Phone: 754-303-7175
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. NADEGE LANOUE
Title or Position: MANAGER
Credential: APRN, PMHNP.
Phone: 754-303-7175