Provider Demographics
NPI:1710600820
Name:MYNOW PLLC
Entity Type:Organization
Organization Name:MYNOW PLLC
Other - Org Name:MYNOW PRECISION THERAPY & WELLNESS PLLC.
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BIBILOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:LADIPO-AJAYI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, MMFT, LCDC
Authorized Official - Phone:832-526-9557
Mailing Address - Street 1:170 HEARTHSHIRE CIR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77354-3502
Mailing Address - Country:US
Mailing Address - Phone:832-526-9557
Mailing Address - Fax:
Practice Address - Street 1:333 N RIVERSHIRE DR STE 210
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2711
Practice Address - Country:US
Practice Address - Phone:832-526-9557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-22
Last Update Date:2024-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty