Organization Active NPI

Mind & Wellness Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1194408906
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Sep 23, 2024

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.