Provider Demographics
NPI:1851155212
Name:CITYHILL PSYCHIATRY AND WELLNESS
Entity Type:Organization
Organization Name:CITYHILL PSYCHIATRY AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:SIMILOLUWA
Authorized Official - Middle Name:O
Authorized Official - Last Name:OLUSHOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-323-8792
Mailing Address - Street 1:6344 SUDBURY LN
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-0009
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6344 SUDBURY LN
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-0009
Practice Address - Country:US
Practice Address - Phone:516-534-5079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty