MEDICARE: FREEMIND WELLNESS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1366300279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREEMIND WELLNESS PLLC

Provider Business Mailing Address
First Line	:	1018 SPARROW DR
Second Line	:
City	:	MURPHY
State	:	TX
Zip	:	75094-3910
Country	:	US
Telephone Number	:	469-438-8886
Fax Number	:

Provider Business Practice Location Address
First Line	:	3604 S COOPER ST STE 110
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-3482
Country	:	US
Telephone Number	:	469-438-8886
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NWAYABUIFE IFEOMA OBIAGWU
Credential	:	PMHNP-BC, APRN
Telephone Number	:	469-438-8886

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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