Olive Green Behavioral Health Services PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

OLIVE GREEN BEHAVIORAL HEALTH SERVICES PLLC

Practice address

201 E Debbie LN
Mansfield, TX 76063-2924

Phone

(682) 422-7555

NPI assigned

Jul 20, 2020

Last updated

May 20, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Myra Gaius-Anyaegbu

Title

Ceo

Phone

(682) 422-7555

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653004800000",
    "number": "1801404504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 W COMMERCE ST # 935",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E DEBBIE LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632924",
            "telephone_number": "682-422-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE GREEN BEHAVIORAL HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "GAIUS-ANYAEGBU",
        "authorized_official_first_name": "MYRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "682-422-7555"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirian Chibuzo Okoye, MD
• Edith Osamuede Okundaye
• Tomi Omolara Ola-Peters, MD
• Tolulope Mary Olabintan, MD
• Olanrewaju Peter Olayemi
• Olive Tree Home Care LLC
• Kara Ashley Oliver, DC
• Maya Victoria Oliver, D.D.S.
• Funmilaayo Oloruntobi
• Olaleye Augustine Olowookere, RN

• Psychiatric/Mental Health Nurse Practitioner in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.