# PHOENIXPATH MENTAL HEALTH SERVICES PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063382166
- **Authorized official:** OLUWAKEMI OKUNLOLA PMHNP (SOLE OWNER)
- **Authorized official phone:** (315) 547-0502

## Contact information

- **Practice address:** 2034 CUCUMBER CT, TEMPLE, TX 76502-7473
- **Practice address phone:** (315) 547-0502
- **Mailing address:** 2034 CUCUMBER CT, TEMPLE, TX 76502-7473
- **Mailing address phone:** (254) 421-0420
- **Mailing address fax:** (218) 396-8185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/05/2025
- **Last updated:** 07/20/2026