Organization
RENASCENT BEHAVIORAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC OLUFEMI OGUNSEYITAN PMHNP-BC (CEO)
(817) 703-5890
Entity
Organization
Contact information
Practice address
539 W COMMERCE ST STE 3448, DALLAS, TX 75208-1953
(817) 904-4536
Mailing address
539 W COMMERCE ST STE 3448, DALLAS, TX 75208-1953
(817) 904-4536
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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