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

The Phoenix Place PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1225976400

The Phoenix Place PLLC is a Psychiatric/Mental Health Nurse Practitioner in Mansfield, Texas. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

809 Virginia Dr
Mansfield, TX 76063-5510
Phone: (346) 235-7127
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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 number1225976400
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kafayat Popoola — Pmhnp-Bc · (346) 235-7127
NPI enumeratedMarch 23, 2026
Last updated in NPPESMarch 23, 2026
Certification dateMarch 22, 2026
Mailing address809 Virginia Dr, Mansfield, TX 76063-5510

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