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Organization
MINDFULVISION PSYCHIATRY LLC
Active
Organization
MINDFULVISION PSYCHIATRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEMILOLUWA OLUWATOYIN ILESANMI DNP, PMHNP-BC (OWNER)
(540) 698-4259
Entity
Organization
Contact information
Practice address
24 ONVILLE RD STE 201, STAFFORD, VA 22556-3832
(540) 698-4259
(540) 736-0264
Mailing address
15 WHEELWRIGHT LN, STAFFORD, VA 22554-8833
(540) 698-4259
(540) 736-0264
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/01/2026
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