Provider Demographics
NPI:1285441527
Name:CAREFUSION MENTAL HEALTH AND WELLNESS CLINIC PLLC
Entity type:Organization
Organization Name:CAREFUSION MENTAL HEALTH AND WELLNESS CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER & PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:ADELEYE
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUNLADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-947-3927
Mailing Address - Street 1:6371 PRESTON RD STE 120
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-9297
Mailing Address - Country:US
Mailing Address - Phone:469-947-3927
Mailing Address - Fax:469-242-9732
Practice Address - Street 1:6371 PRESTON RD STE 120
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9297
Practice Address - Country:US
Practice Address - Phone:469-947-3927
Practice Address - Fax:469-242-9732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-11
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty