Provider Demographics
NPI:1043972979
Name:BEST LIFE PSYCHIATRY AND WELLNESS LLC
Entity Type:Organization
Organization Name:BEST LIFE PSYCHIATRY AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF ENTITY
Authorized Official - Prefix:
Authorized Official - First Name:TITILOPE
Authorized Official - Middle Name:A
Authorized Official - Last Name:LAWAL-JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSN APRN, PMHNP
Authorized Official - Phone:469-531-0925
Mailing Address - Street 1:6407 GENERAL LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76018-3071
Mailing Address - Country:US
Mailing Address - Phone:469-531-0925
Mailing Address - Fax:
Practice Address - Street 1:6407 GENERAL LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76018-3071
Practice Address - Country:US
Practice Address - Phone:469-531-0925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty