Organization Active NPI

Relax Mind Wellness Clinic PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1083500482
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RELAX MIND WELLNESS CLINIC PLLC
Practice address
14829 Bellaire Blvd Ste 13B-5
Houston, TX 77083-2500
Phone
(346) 631-5576
Fax
(346) 839-0199
NPI assigned
Jun 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Diana MuyongaNPI 1275221558
Title
Owner of Entity
Phone
(346) 631-5576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

14829 Bellaire Blvd Ste 13B-5
Houston, TX 77083-2500

Mailing address

6611 Windy Hills LN
Katy, TX 77493-2923
Phone (346) 631-5576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250709002830 TX Part B Supplier - Clinic/Group Practice 7719491992 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX
O20250829002609 NC Part B Supplier - Clinic/Group Practice 7719491992 Receives reassigned benefits from 1 practitioner
Practice locations: Clemmons, NC

National Provider Directory

National Provider Directory

Locations

14829 Bellaire Blvd
Ste 13B5
Houston, TX 77083
Phone (346) 631-5576

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1083500482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 WINDY HILLS LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932923",
            "telephone_number": "346-631-5576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14829 BELLAIRE BLVD STE 13B-5",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770832500",
            "telephone_number": "346-631-5576",
            "fax_number": "346-839-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELAX MIND WELLNESS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "MUYONGA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "346-631-5576"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.