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General NPI Number Information
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NPI Number | 1063382166
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Entity Type | Organization
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Legal Business Name | PHOENIXPATH MENTAL HEALTH SERVICES PLLC
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Dates
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Enumeration Date | 11/05/2025
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Last Update Date | 11/15/2025
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Provider Practice Location Address
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Address Line | 2034 CUCUMBER CT
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City | TEMPLE
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State | TX
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Zip | 76502-7473
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Country | US
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Telephone | 315-547-0502
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Fax |
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Provider Business Mailing Address
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Address Line | 2034 CUCUMBER CT
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City | TEMPLE
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State | TX
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Zip | 76502-7473
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Country | US
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Telephone | 315-547-0502
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | OLUWAKEMI OKUNLOLA
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Credential | PMHNP
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Telephone | 315-547-0502
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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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