Organization
CENTIA HEALTH LLC
Active
Other names
Centia Health LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOSUNMOLU OPEYEMI SHOYINKA MD (FOUNDER, CHIEF MEDICAL OFFICER)
(917) 589-4879
Entity
Organization
Contact information
Practice address
8016 STATE LINE RD STE 205, PRAIRIE VILLAGE, KS 66208-3713
(610) 400-4885
(610) 273-5542
Mailing address
150 S WARNER RD STE 130, KING OF PRUSSIA, PA 19406-2826
(610) 400-4885
(610) 273-5542
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550
NONE
—
Enumeration date
07/13/2020
Last updated
05/12/2025
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