# OLIVEPATH PSYCHIATRY SERVICES PLLC

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

## Provider details

- **NPI number:** 1124877097
- **Authorized official:** LINDA U EJEM (OWNER)
- **Authorized official phone:** (917) 856-2411

## Contact information

- **Practice address:** 13500 W AIRPORT BLVD STE B, SUGAR LAND, TX 77498-6319
- **Practice address phone:** (708) 616-1477
- **Practice address fax:** (832) 321-2895
- **Mailing address:** 11015 RAINY CANYON LN, RICHMOND, TX 77406-1699
- **Mailing address phone:** (708) 616-1477
- **Mailing address fax:** (832) 321-2895

## 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:** 05/14/2024
- **Last updated:** 05/30/2024