Provider Demographics
NPI:1841076841
Name:MIND & WELLNESS HEALTH SERVICES, DBA
Entity type:Organization
Organization Name:MIND & WELLNESS HEALTH SERVICES, DBA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP, BC
Authorized Official - Prefix:
Authorized Official - First Name:OLASUMBO
Authorized Official - Middle Name:
Authorized Official - Last Name:AFILAKA
Authorized Official - Suffix:
Authorized Official - Credentials:FNP, BC
Authorized Official - Phone:682-354-5261
Mailing Address - Street 1:3201 E PIONEER PKWY STE 40B
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76010-5324
Mailing Address - Country:US
Mailing Address - Phone:682-354-5261
Mailing Address - Fax:682-354-5392
Practice Address - Street 1:3201 E PIONEER PKWY STE 40B
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-5324
Practice Address - Country:US
Practice Address - Phone:682-354-5261
Practice Address - Fax:682-354-5392
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MIND AND WELLNESS BEHAVIORAL HEALTH, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity HealthGroup - Multi-Specialty