Provider Demographics
NPI:1447049986
Name:AKINFEMIWA, FOLASADE MERCY
Entity type:Individual
Prefix:
First Name:FOLASADE
Middle Name:MERCY
Last Name:AKINFEMIWA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29706 S LEGENDS CREEK CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-2034
Mailing Address - Country:US
Mailing Address - Phone:832-277-1313
Mailing Address - Fax:
Practice Address - Street 1:19003 MIRROR LAKE DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-5237
Practice Address - Country:US
Practice Address - Phone:832-364-2273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205971106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist