MENTAL WELLNESS PSYCHIATRY NPI 1629861091

NPI Information

  • NPI: 1629861091
  • Provider Name: MENTAL WELLNESS PSYCHIATRY
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 188 HUCKLEBERRY LN
    FLORENCE, OR
    ZIP 97439
  • Phone: (541) 725-2565

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NPI Details

MENTAL WELLNESS PSYCHIATRY is a psychiatric/mental health nurse practitioner in Florence, OR. MENTAL WELLNESS PSYCHIATRY NPI is 1629861091. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

188 HUCKLEBERRY LN
FLORENCE, OR
ZIP 97439-779
Phone: (541) 725-2565
Fax: (862) 205-4480

The provider's authorized official is Bola Fadipe .
The authorized official title is President and has the following contact phone number (541) 725-2565.

The enumeration date for this NPI number is 5/27/2025 and was last updated on 7/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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