Provider Demographics
NPI:1063636660
Name:APENA, OLAYINKA (CASEMANAGER)
Entity Type:Individual
Prefix:MR
First Name:OLAYINKA
Middle Name:
Last Name:APENA
Suffix:
Gender:M
Credentials:CASEMANAGER
Other - Prefix:MR
Other - First Name:JOE
Other - Middle Name:
Other - Last Name:APENA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CASEMANAGER
Mailing Address - Street 1:5014 PETERSBURG DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-1847
Mailing Address - Country:US
Mailing Address - Phone:972-740-9523
Mailing Address - Fax:
Practice Address - Street 1:3330 S LANCASTER RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216-4531
Practice Address - Country:US
Practice Address - Phone:214-330-0474
Practice Address - Fax:214-371-3933
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health