Provider Demographics
NPI:1760116735
Name:AYODELE, OLAKIITAN EUNICE (CASE MANAGER 11)
Entity Type:Individual
Prefix:MRS
First Name:OLAKIITAN
Middle Name:EUNICE
Last Name:AYODELE
Suffix:
Gender:F
Credentials:CASE MANAGER 11
Other - Prefix:MRS
Other - First Name:OLAKIITAN
Other - Middle Name:EUNICE
Other - Last Name:AYODELE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OJO OLAKIITAN EUNICE
Mailing Address - Street 1:2630 EAST 88TH STREET,APT.4
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74137
Mailing Address - Country:US
Mailing Address - Phone:918-344-3931
Mailing Address - Fax:
Practice Address - Street 1:2630 E 88TH ST APT 4
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74137-1129
Practice Address - Country:US
Practice Address - Phone:918-344-3931
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist