Healthcare Provider Details

I. General information

NPI: 1407315096
Provider Name (Legal Business Name): NEXUS OF HOPE PSYCHIATRY & MENTAL HEALTH WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2019
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14031 BURNHAVEN DR STE 106
BURNSVILLE MN
55337-4474
US

IV. Provider business mailing address

14031 BURNHAVEN DR STE 106
BURNSVILLE MN
55337-4474
US

V. Phone/Fax

Practice location:
  • Phone: 952-955-4110
  • Fax: 952-955-7482
Mailing address:
  • Phone: 952-955-4110
  • Fax: 952-955-7482

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ADEJOKE ADEDEJI
Title or Position: OWNER
Credential: APRN PMHNP-BC
Phone: 952-955-4110