Organization
PHILWELL PLLC
Active
Other names
Omorinsola
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOREEN PHILLIPS APRN (CHIEF MANAGER)
(832) 454-6061
Entity
Organization
Contact information
Practice address
57 PROSPECT ST STE 100, NANTUCKET, MA 02554-2799
(281) 249-1269
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
(281) 249-1269
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
273R00000X
Psychiatric Hospital Unit
—
—
Other
Enumeration date
01/21/2020
Last updated
04/29/2026
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