Healthcare Provider Details

I. General information

NPI: 1063326403
Provider Name (Legal Business Name): FORTUNE TREASURES BEHAVIORAL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3129 ANDERSON RD NE
RIO RANCHO NM
87144-1483
US

IV. Provider business mailing address

3129 ANDERSON RD NE
RIO RANCHO NM
87144-1483
US

V. Phone/Fax

Practice location:
  • Phone: 301-765-4539
  • Fax:
Mailing address:
  • Phone: 301-765-4539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. MODUPEOLA CHRISTIANAH AKINJOLIRE
Title or Position: PSYCHIATRIC AND MENTAL HEALTH NP
Credential: DNP, PMHNP- BC, CNP
Phone: 301-765-4539