Provider Demographics
NPI:1912219510
Name:ATOYOSOYE, BAMIDELE OLUDARE (LPC)
Entity Type:Individual
Prefix:
First Name:BAMIDELE
Middle Name:OLUDARE
Last Name:ATOYOSOYE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:OLUDARE
Other - Middle Name:BAMIDELE
Other - Last Name:ATOYOSOYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 400
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73070-0400
Mailing Address - Country:US
Mailing Address - Phone:405-573-3812
Mailing Address - Fax:405-366-3841
Practice Address - Street 1:4400 N LINCOLN BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-5108
Practice Address - Country:US
Practice Address - Phone:405-424-7711
Practice Address - Fax:405-366-3841
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-12
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK6084101YM0800X
OK101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKLPC06084OtherOKLAHOMA STATE BOARD OF BEHAVIORAL HEALTH