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General NPI Number Information
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NPI Number | 1013693373
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Entity Type | Organization
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Legal Business Name | EVER FLOURISH MENTAL HEALTH
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Dates
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Enumeration Date | 06/22/2023
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 1057 POQUONNOCK RD # 6
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City | GROTON
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State | CT
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Zip | 06340-6630
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Country | US
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Telephone | 860-984-4552
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Fax | 844-321-6166
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Provider Business Mailing Address
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Address Line | 1057 POQUONNOCK RD # 6
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City | GROTON
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State | CT
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Zip | 06340-6630
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Country | US
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Telephone | 860-984-4552
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Fax | 844-321-6166
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Authorized Official
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Title or Position | PMHNP
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Name | OYEWOLE GBENGA OGUNNAIKE
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Credential |
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Telephone | 956-215-6450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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