Provider Demographics
NPI:1659001006
Name:IJK MENTAL HEALTH SOLUTIONS, PLLC
Entity Type:Organization
Organization Name:IJK MENTAL HEALTH SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:LEKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ATABONG
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:614-779-6227
Mailing Address - Street 1:9611 BROOKDALE DR STE 100-190
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28215-8719
Mailing Address - Country:US
Mailing Address - Phone:614-779-6227
Mailing Address - Fax:
Practice Address - Street 1:12350 OLD DULIN FARMS WAY
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-5210
Practice Address - Country:US
Practice Address - Phone:614-779-6227
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)