Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mental Wellness Psychiatry

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1629861091

Mental Wellness Psychiatry is a Psychiatric/Mental Health Nurse Practitioner in Florence, Oregon. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

188 Huckleberry Ln
Florence, OR 97439-8779
Phone: (541) 725-2565
Fax: (862) 205-4480
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1629861091
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bola Fadipe — President · (541) 725-2565
NPI enumeratedMay 27, 2025
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025
Mailing address2386 Morris Ave Ste 205, Union, NJ 07083-5723

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