Provider Demographics
NPI:1386506186
Name:BANGASH PSYCHIATRY & WELLNESS PLLC
Entity type:Organization
Organization Name:BANGASH PSYCHIATRY & WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NUSRAT
Authorized Official - Middle Name:
Authorized Official - Last Name:BANGASH
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:813-868-8694
Mailing Address - Street 1:802 E BAKER ST STE 2
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33563-3636
Mailing Address - Country:US
Mailing Address - Phone:813-868-8694
Mailing Address - Fax:813-822-4983
Practice Address - Street 1:802 E BAKER ST STE 2
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33563-3636
Practice Address - Country:US
Practice Address - Phone:813-868-8694
Practice Address - Fax:813-822-4983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-01
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty