# EFFULGENCE MENTAL & BEHAVIORAL HEALTH LLC

> 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:** 1215708045
- **Authorized official:** IFEOMA IROKWE PMHNP (PRESIDENT)
- **Authorized official phone:** (972) 900-3652

## Contact information

- **Practice address:** 9500 MEDICAL CENTER DR STE 270, LARGO, MD 20774-3709
- **Practice address phone:** (877) 306-2758
- **Practice address fax:** (877) 306-2754
- **Mailing address:** 2905 DUSTYWOOD DR, MCKINNEY, TX 75071-6783
- **Mailing address phone:** (972) 900-3652
- **Mailing address fax:** (877) 306-2754

## 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:** 01/10/2024
- **Last updated:** 02/14/2024