Provider Demographics
NPI:1811745813
Name:THE OAK PSYCHIATRY
Entity type:Organization
Organization Name:THE OAK PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLAMIDE
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLAWOLE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:469-432-7154
Mailing Address - Street 1:215 BILLINGS ST STE 390
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-5403
Mailing Address - Country:US
Mailing Address - Phone:903-224-6186
Mailing Address - Fax:903-209-2960
Practice Address - Street 1:215 BILLINGS ST STE 390
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-5403
Practice Address - Country:US
Practice Address - Phone:903-224-6186
Practice Address - Fax:903-209-2960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health