Provider Demographics
NPI:1760149983
Name:UNONU, TEMI (LGPC)
Entity Type:Individual
Prefix:MRS
First Name:TEMI
Middle Name:
Last Name:UNONU
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:TEMITOPE
Other - Middle Name:
Other - Last Name:FAKINLEDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LGPC
Mailing Address - Street 1:2425 BLUERIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-4553
Mailing Address - Country:US
Mailing Address - Phone:301-395-9157
Mailing Address - Fax:
Practice Address - Street 1:8181 PROFESSIONAL PL
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-2226
Practice Address - Country:US
Practice Address - Phone:202-400-7524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-22
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP10909101YM0800X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health