Provider Demographics
NPI:1245907963
Name:ADESINA, DAMILOLA FUNMILAYO (LPC)
Entity type:Individual
Prefix:MRS
First Name:DAMILOLA
Middle Name:FUNMILAYO
Last Name:ADESINA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6522 RUSTLING TIMBERS LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-5024
Mailing Address - Country:US
Mailing Address - Phone:832-431-8154
Mailing Address - Fax:
Practice Address - Street 1:19500 TEXAS STATE HIGHWAY 249
Practice Address - Street 2:120
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-2698
Practice Address - Country:US
Practice Address - Phone:281-374-4500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-30
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX78225101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty