# OLIVE GREEN BEHAVIORAL HEALTH SERVICES PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801404504
- **Authorized official:** MYRA GAIUS-ANYAEGBU (CEO)
- **Authorized official phone:** (682) 422-7555

## Contact information

- **Practice address:** 201 E DEBBIE LN, MANSFIELD, TX 76063-2924
- **Practice address phone:** (682) 422-7555
- **Mailing address:** 539 W COMMERCE ST \# 935, DALLAS, TX 75208-1953

## 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:** 07/20/2020
- **Last updated:** 05/20/2022