Active NPI
Mind & Wellness Behavioral Health LLC
- Psychiatric/Mental Health Nurse Practitioner
- Arlington, TX
National Provider Identifier
1194408906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MIND & WELLNESS BEHAVIORAL HEALTH LLC
- Practice address
- 3201 E Pioneer Pkwy Ste 40B
Arlington, TX 76010-5324 - Phone
- (302) 981-8926
- NPI assigned
- Aug 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olasumbo T. Afilaka, FNP, BC PMHNP, BC
- Title
- Nurse Practitioner
- Phone
- (302) 981-8926
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
3201 E Pioneer Pkwy Ste 40B
Arlington, TX 76010-5324
Mailing address
3201 E Pioneer Pkwy Ste 40B
Arlington, TX 76010-5324
Phone (302) 981-8926
National Provider Directory
National Provider DirectoryLocations
3201 E Pioneer Pkwy
Ste 40B
Arlington, TX 76010
Phone (302) 981-8926
2125 W Pioneer Pkwy
Ste A1
Grand Prairie, TX 75051
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Community Health Nurse Practitioner
- Arlington, TX
- NPI 1841076841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691452800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727049600000",
"number": "1194408906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 E PIONEER PKWY STE 40B",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760105324",
"telephone_number": "302-981-8926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 E PIONEER PKWY STE 40B",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760105324",
"telephone_number": "302-981-8926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND & WELLNESS BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-08",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A",
"authorized_official_last_name": "AFILAKA",
"authorized_official_first_name": "OLASUMBO",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "302-981-8926",
"authorized_official_credential": "FNP, BC PMHNP, BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.