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.
Organization
THE PHOENIX PLACE PLLC
Active
Organization
THE PHOENIX PLACE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAFAYAT POPOOLA (PMHNP-BC)
(346) 235-7127
Entity
Organization
Contact information
Practice address
809 VIRGINIA DR, MANSFIELD, TX 76063-5510
(346) 235-7127
Mailing address
809 VIRGINIA DR, MANSFIELD, TX 76063-5510
(346) 235-7127
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up