KOLA GROUP
NPI 1255018909
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA

Active since July 03, 2023
5438 N LAWRENCE ST, PHILADELPHIA, PA 19120(610) 563-3767 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kola Group NPPES

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

KOLA GROUP (NPI 1255018909), doing business as Modest Behavioral Health Center, is a healthcare organization registered as a psychiatric/mental health in Philadelphia, Pennsylvania and active in the NPI registry since July 2023. The organization lists Tajudeen Adebayo Kolawole, Crnp, as its authorized official.

NPPES Registry Identity

NPI1255018909
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameKOLA GROUP
Location Address5438 N LAWRENCE STPhiladelphia, PA 19120-2804
Mailing Address819 Selma StPhiladelphia, PA 19116-2923
Organization SubpartNo
Authorized OfficialTajudeen Adebayo KolawoleCrnp · (610) 563-3767
Enumeration DateJuly 3, 2023
NPPES CertifiedJuly 3, 2023
NPI 1255018909 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
5438 N LAWRENCE ST, Philadelphia, PA 19120

Other Names 1

Doing Business AsModest Behavioral Health Center

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
5438 N LAWRENCE ST
PHILADELPHIA, PA 19120

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 Kola Group's NPI number?

The NPI number for Kola Group is 1255018909. It was assigned to this organization in the NPPES registry on July 3, 2023. The provider is doing business as Modest Behavioral Health Center.

Where is Kola Group located?

Kola Group is located at 5438 N Lawrence St, Philadelphia, PA 19120. The listed phone number is (610) 563-3767.

What is Kola Group'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 Kola Group was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.