Provider Demographics
NPI:1255951406
Name:DADA, ENIOLA (LMHC)
Entity type:Individual
Prefix:
First Name:ENIOLA
Middle Name:
Last Name:DADA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:JOKE
Other - Middle Name:
Other - Last Name:DADA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4093 CASCADA CIR
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-8517
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4093 CASCADA CIR
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-8517
Practice Address - Country:US
Practice Address - Phone:402-968-4515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-17
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH17152101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health