Provider Demographics
NPI:1902690696
Name:OKUBOYEJO, ESTHER E
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:E
Last Name:OKUBOYEJO
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 1:4498 WESLEY WAY
Mailing Address - Street 2:
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30106-1691
Mailing Address - Country:US
Mailing Address - Phone:404-663-5429
Mailing Address - Fax:
Practice Address - Street 1:514 W BANKHEAD HWY STE 100
Practice Address - Street 2:
Practice Address - City:VILLA RICA
Practice Address - State:GA
Practice Address - Zip Code:30180-1737
Practice Address - Country:US
Practice Address - Phone:678-941-3868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical