Provider Demographics
NPI:1285398008
Name:OTENG-MENSAH, REBECCA E (PMHNP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:E
Last Name:OTENG-MENSAH
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2214 LONE PECAN DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-3990
Mailing Address - Country:US
Mailing Address - Phone:972-051-0698
Mailing Address - Fax:
Practice Address - Street 1:101 ELLIOTT AVE W BAY STE 500
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-4236
Practice Address - Country:US
Practice Address - Phone:972-951-0698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-27
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-APN.0100220-C-NP363LP0808X
WAAP61357591363LP0808X
NM66579363LP0808X
TX1056003363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health