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
MINDSET HEALTHCARE, PC
Active
Organization
MINDSET HEALTHCARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMOLOLA A OTUBAGA (APRN-BC/NURSE PRACTIONER)
(404) 444-1904
Entity
Organization
Contact information
Practice address
135 BRADFORD SQ STE B, FAYETTEVILLE, GA 30215-1902
(470) 646-3738
(888) 910-6463
Mailing address
5465 HIGHWAY 42 UNIT 246, ELLENWOOD, GA 30294-4042
(470) 646-3738
(888) 910-6463
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/28/2018
Last updated
04/25/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers