# IMPERIALHEALTH CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** IMPERIAL Health Psychiatry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699346494
- **Authorized official:** DR. STEPHANIE OMOTAYO NP (NP/CEO)
- **Authorized official phone:** (469) 414-2615

## Contact information

- **Practice address:** 1626 W HIGHWAY 287 BUSINESS STE 104, WAXAHACHIE, TX 75165-4728
- **Practice address phone:** (469) 414-2615
- **Practice address fax:** (469) 242-9743
- **Mailing address:** 1626 W HIGHWAY 287 BUSINESS STE 104, WAXAHACHIE, TX 75165-4728
- **Mailing address phone:** (469) 414-2615
- **Mailing address fax:** (469) 242-9743

## 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:** 07/02/2021
- **Last updated:** 07/15/2026