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Organization
MINDFLEX BEHAVIORAL HEALTH LLC
Active
Organization
MINDFLEX BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOLATITO OYERONKE OKOUGBO (PMHNP)
(623) 398-9124
Entity
Organization
Contact information
Practice address
10926 W IVORY LN, AVONDALE, AZ 85392-4025
(623) 398-9124
Mailing address
10926 W IVORY LN, AVONDALE, AZ 85392-4025
(623) 398-9124
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
01/28/2022
Last updated
03/07/2023
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