THE PHOENIX PLACE PLLC
NPI 1225976400
Nurse Practitioner - Psychiatric/Mental Health in Mansfield, TX

Active since March 23, 2026
809 VIRGINIA DR, MANSFIELD, TX 76063(346) 235-7127 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Phoenix Place Pllc NPPES

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

THE PHOENIX PLACE PLLC (NPI 1225976400) is a healthcare organization registered as a psychiatric/mental health in Mansfield, Texas and active in the NPI registry since March 2026. The organization lists Kafayat Popoola, Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1225976400
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTHE PHOENIX PLACE PLLC
Location Address809 VIRGINIA DRMansfield, TX 76063-5510
Mailing Address809 Virginia DrMansfield, TX 76063-5510 · (346) 235-7127
Organization SubpartNo
Authorized OfficialKafayat PopoolaPmhnp-bc · (346) 235-7127
Enumeration DateMarch 23, 2026
NPPES CertifiedMarch 22, 2026
NPI 1225976400 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
809 VIRGINIA DR, Mansfield, TX 76063

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 The Phoenix Place PLLC's NPI number?

The NPI number for The Phoenix Place PLLC is 1225976400. It was assigned to this organization in the NPPES registry on March 23, 2026.

Where is The Phoenix Place PLLC located?

The Phoenix Place PLLC is located at 809 Virginia Dr, Mansfield, TX 76063. The listed phone number is (346) 235-7127.

What is The Phoenix Place 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 The Phoenix Place PLLC was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.