Provider Demographics
NPI:1013220987
Name:ROTIMI, TEMITOPE (MHR,LADC/MH, LPC CAN)
Entity Type:Individual
Prefix:MR
First Name:TEMITOPE
Middle Name:
Last Name:ROTIMI
Suffix:
Gender:M
Credentials:MHR,LADC/MH, LPC CAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 APPLE TREE LN
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-1349
Mailing Address - Country:US
Mailing Address - Phone:405-361-5488
Mailing Address - Fax:
Practice Address - Street 1:10326 GREENBRIAR PARKWAY
Practice Address - Street 2:FOUNTAIN OF HOPE FAMILY SERVICES
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159
Practice Address - Country:US
Practice Address - Phone:405-759-3860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-21
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)