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Organization

NAMSAM MENTAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OMOLARA MADINAT MEDAIYESE PMHNP (OWNER)
(817) 413-3159
Entity
Organization

Contact information

Practice address
2806 AUGUSTUS WAY, MANSFIELD, TX 76063-4564
(817) 413-3159
Mailing address
2806 AUGUSTUS WAY, MANSFIELD, TX 76063-4564
(817) 413-3159

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
02/10/2026
Last updated
02/10/2026
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