Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PHOENIXPATH MENTAL HEALTH SERVICES PLLC
NPI 1063382166
Nurse Practitioner - Psychiatric/Mental Health in Temple, TX

Q: What is Phoenixpath Mental Health Services PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since November 05, 2025

2034 CUCUMBER CT, TEMPLE, TX 76502(315) 547-0502 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 20, 2026, Nov 15, 2025, Nov 5, 2025 (3 updates tracked since 2025).

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About Phoenixpath Mental Health Services Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIXPATH MENTAL HEALTH SERVICES PLLC (NPI 1063382166) is a healthcare organization registered as a psychiatric/mental health in Temple, Texas and active in the NPI registry since November 2025. The organization lists Oluwakemi Okunlola, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1063382166

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NamePHOENIXPATH MENTAL HEALTH SERVICES PLLC

Location Address2034 CUCUMBER CTTemple, TX 76502-7473

Mailing Address2034 Cucumber CtTemple, TX 76502-7473 · (254) 421-0420 · Fax (218) 396-8185

Phone(315) 547-0502

Organization SubpartNo

Authorized OfficialOluwakemi OkunlolaSole Owner · (315) 547-0502

Enumeration DateNovember 5, 2025

Last NPPES UpdateJuly 20, 20263 updates tracked since enumeration

NPPES CertifiedJuly 20, 2026

✔ NPI 1063382166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

2034 CUCUMBER CT, Temple, TX 76502

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenixpath Mental Health Services PLLC's NPI number?

The NPI number for Phoenixpath Mental Health Services PLLC is 1063382166. It was assigned to this organization in the NPPES registry on November 5, 2025.

Where is Phoenixpath Mental Health Services PLLC located?

Phoenixpath Mental Health Services PLLC is located at 2034 Cucumber Ct, Temple, TX 76502. The listed phone number is (315) 547-0502.

What is Phoenixpath Mental Health Services PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Phoenixpath Mental Health Services PLLC was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.