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General NPI Number Information
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NPI Number | 1184537987
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Entity Type | Organization
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Legal Business Name | WHOLEMIND MENTAL HEALTH, LLC.
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Dates
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Enumeration Date | 09/24/2026
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Last Update Date | 09/24/2026
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Provider Practice Location Address
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Address Line | 1862 ADVENTURE PL
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-5437
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Country | US
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Telephone | 754-303-7175
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Fax |
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Provider Business Mailing Address
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Address Line | 7158 NW 49TH CT
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City | LAUDERHILL
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State | FL
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Zip | 33319-3445
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. NADEGE LANOUE
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Credential | APRN, PMHNP.
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Telephone | 754-303-7175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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