Provider Demographics
NPI:1184956450
Name:TOUSSAINT, OLUWASHOLA (LCSW)
Entity type:Individual
Prefix:
First Name:OLUWASHOLA
Middle Name:
Last Name:TOUSSAINT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 OAKFIELD DR STE 153
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-4954
Mailing Address - Country:US
Mailing Address - Phone:813-419-3397
Mailing Address - Fax:
Practice Address - Street 1:710 OAKFIELD DR STE 153
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511
Practice Address - Country:US
Practice Address - Phone:813-419-3397
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-11
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty