Organization
BAOBAB PSYCHIATRIC SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KOMI AFANGNON KOKOU-ABI DNP PMHNP-BC (EXECUTIVE DIRECTOR)
(865) 306-8847
Entity
Organization
Contact information
Practice address
2200 N A W GRIMES BLVD STE 600, ROUND ROCK, TX 78665-2745
(512) 655-3104
(833) 955-3628
Mailing address
2200 N A W GRIMES BLVD STE 600, ROUND ROCK, TX 78665-2745
(512) 655-3104
(833) 955-3628
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/19/2022
Last updated
03/18/2025
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