Provider Demographics
NPI:1205687910
Name:OLAYINKA, ANU (LPC-A)
Entity type:Individual
Prefix:
First Name:ANU
Middle Name:
Last Name:OLAYINKA
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7405 LINDSEY DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-8994
Mailing Address - Country:US
Mailing Address - Phone:214-281-6210
Mailing Address - Fax:
Practice Address - Street 1:7405 LINDSEY DR
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-8994
Practice Address - Country:US
Practice Address - Phone:214-281-6210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-29
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX94216101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional