Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Imani Mental Health and Wellness LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1104415405

Imani Mental Health and Wellness LLC is a Psychiatric/Mental Health Nurse Practitioner in Portland, Oregon. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3939 NE Hancock St # 202
Portland, OR 97212-5321
Phone: (214) 458-1713
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1104415405
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Mbugua — Mental Health Nurse Practitioner · (214) 458-1713
NPI enumeratedJanuary 12, 2021
Last updated in NPPESJanuary 25, 2021
Certification dateJanuary 25, 2021
Mailing address12063 Sw Taylor Ct, Portland, OR 97225-5845

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