Provider Demographics
NPI:1205358298
Name:ADELEYE-ONUCHE, SINMILOLUWA (MS, MHR)
Entity Type:Individual
Prefix:
First Name:SINMILOLUWA
Middle Name:
Last Name:ADELEYE-ONUCHE
Suffix:
Gender:F
Credentials:MS, MHR
Other - Prefix:
Other - First Name:SINMILOLUWA
Other - Middle Name:
Other - Last Name:ADELEYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8732 BLOOMFIELD TER
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76123-4013
Mailing Address - Country:US
Mailing Address - Phone:405-410-5958
Mailing Address - Fax:
Practice Address - Street 1:3404 NW 178TH ST STE B
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73012-9150
Practice Address - Country:US
Practice Address - Phone:405-410-5958
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-11
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK10410101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK101Y00000XMedicaid
OK200764330AMedicaid