Provider Demographics
NPI:1629802814
Name:FOLARIN, OLUWATOSIN ELIZABETH
Entity type:Individual
Prefix:MISS
First Name:OLUWATOSIN
Middle Name:ELIZABETH
Last Name:FOLARIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 STAFFORD ST APT B
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-4877
Mailing Address - Country:US
Mailing Address - Phone:931-502-7962
Mailing Address - Fax:
Practice Address - Street 1:811 STAFFORD ST APT B
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-4877
Practice Address - Country:US
Practice Address - Phone:931-502-7962
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health