Provider Demographics
NPI:1639367873
Name:FARINDE, ABIMBOLA OLUWABUNMI (PHD, LPC, LCDC)
Entity Type:Individual
Prefix:MS
First Name:ABIMBOLA
Middle Name:OLUWABUNMI
Last Name:FARINDE
Suffix:
Gender:F
Credentials:PHD, LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11703 BEECHNUT STREET #720959
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-9998
Mailing Address - Country:US
Mailing Address - Phone:832-980-5797
Mailing Address - Fax:832-890-5797
Practice Address - Street 1:11703 BEECHNUT STREET #720959
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-9998
Practice Address - Country:US
Practice Address - Phone:832-980-5797
Practice Address - Fax:832-890-5797
Is Sole Proprietor?:No
Enumeration Date:2007-10-12
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74547101YM0800X
TX45724183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health