Organization
T H MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMOTOLA WASILAT DANMOLE-ODIMAYO PMHNP (ADMISTRATOR)
(217) 553-0266
Entity
Organization
Contact information
Practice address
2041 W ILES AVE STE C, SPRINGFIELD, IL 62704-7006
(217) 553-0266
Mailing address
7011 PRESTON DR, SPRINGFIELD, IL 62711-4310
(217) 553-0266
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
10/24/2025
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