Healthcare Provider Details

I. General information

NPI: 1417899592
Provider Name (Legal Business Name): ARISE AND THRIVE MENTAL HEALTH AND WELLNESS SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3332 N MERIDIAN AVE
OKLAHOMA CITY OK
73112-3127
US

IV. Provider business mailing address

15908 LANGLEY WAY
EDMOND OK
73013-0023
US

V. Phone/Fax

Practice location:
  • Phone: 405-535-4776
  • Fax: 405-535-4776
Mailing address:
  • Phone: 405-535-4776
  • Fax: 405-535-4776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. FIDELIA NITAH
Title or Position: APRN
Credential: DNP
Phone: 405-535-4776