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Organization
OLIVE GREEN BEHAVIORAL HEALTH SERVICES PLLC
Active
Organization
OLIVE GREEN BEHAVIORAL HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRA GAIUS-ANYAEGBU (CEO)
(682) 422-7555
Entity
Organization
Contact information
Practice address
201 E DEBBIE LN, MANSFIELD, TX 76063-2924
(682) 422-7555
Mailing address
539 W COMMERCE ST # 935, DALLAS, TX 75208-1953
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
07/20/2020
Last updated
05/20/2022
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