Healthcare Provider Details

I. General information

NPI: 1992614002
Provider Name (Legal Business Name): TRUE PATH WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

263 W 3RD PL
MESA AZ
85201-6548
US

IV. Provider business mailing address

263 W 3RD PL
MESA AZ
85201-6548
US

V. Phone/Fax

Practice location:
  • Phone: 480-531-4349
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL

VIII. Authorized Official

Name: OLANREWAJU SUNDAY OGEDENGBE
Title or Position: OWNER
Credential:
Phone: 480-531-4349