LYDIA ADETOLU (NPI# 1073966685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073966685 |
Entity Type | Individual |
Full Name | LYDIA ADETOLU |
Practice Address |
2514 N Broad St Philadelphia PA 19132-4013 |
Mailing Address |
7640 Fairfield St Philadelphia PA 19152-3942 |
Practice Telephone | 2679405004 |
Mailing Telephone | 2679405004 |
Enumeration Date | 2016-07-19 |
Last Update Date | 2016-07-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
Street Address |
2514 N BROAD ST |
City | PHILADELPHIA |
State | PA |
Zip Code | 19132-4013 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790974921 | Angela J Cooper | Counselor | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2007-10-24 |
1174132237 | Evelyn Mammen | Counselor | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2020-07-24 |
1548879836 | Adam Joseph Rzepka | Social Worker | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2020-07-23 |
1487294146 | Michael Howard Lee Jr. | Social Worker | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2020-01-10 |
1720628415 | Beata Mariola Buzek | Marriage & Family Therapist | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2020-01-09 |
1598321218 | Ruth Degraffenreidt | Counselor | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2019-05-17 |
1659833770 | Danielle Croom | Social Worker | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2019-04-06 |
1033604335 | Cynthia R Johnson-lewis | Counselor | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2018-06-28 |
1962918250 | Henry Kyle Weaver | Counselor | 2514 N Broad St, Philadelphia, PA 19132-4013 | 2017-12-21 |
1194253914 | Anjalea Noble | Counselor | 2514 N Broad St, Adult Outpatient 5a, Philadelphia, PA 19132-4013 | 2017-05-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811511017 | Irene Maria Clark | Social Worker | 3101 N. 29th St., Philadelphia, PA 19132 | 2020-06-03 |
1518407519 | Forget Me Knot Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 2321 N Broad Street, Philadelphia, PA 19132 | 2017-02-24 |
1609322437 | Shaakira Gillette | Social Worker | 2514 N. Broad St, Philadelphia, PA 19132 | 2016-08-31 |
1578017042 | Education Plus, Inc. | Nurse Practitioner | 3217 W. Clearfield Street, Philadelphia, PA 19132 | 2016-08-12 |
1972958544 | Rittenhouse Health LLC | Substance Abuse Rehabilitation Facility | 2321 N. Broad St, Philadelphia, PA 19132 | 2016-05-02 |
1336593458 | Jamal Vann | Counselor | 2233-43 West Allegheny Avenue, Philadelphia, PA 19132 | 2016-04-14 |
1487027132 | Jazzmin Devine | Specialist/Technologist | 200 Prospect St Hemlock 430a, East Stroudsburg University, PA 19132 | 2015-11-03 |
1609282508 | Lawrence Petitfrere | Pharmacist | 2801 W Dauphin St, Philadelphia, PA 19132 | 2014-07-11 |
1437565157 | Mental Health Partnerships | Community/Behavioral Health | 2709 N. Broad Street, Philadelphia, PA 19132 | 2014-07-02 |
1477977346 | Randy Morman | Counselor | 2514 N. Broad Street, 1st Floor, Philadelphia, PA 19132 | 2014-02-12 |
Find all providers in zip 19132 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083214928 | Tatyana Sharron Hill | Counselor | 3700 Market St Ste 301, Philadelphia, PA 19104-3143 | 2020-10-29 |
1013516806 | Being, LLC | Counselor | 1736 Kendrick St, Philadelphia, PA 19152-1816 | 2020-10-22 |
1821605809 | Jessica Briddell-hasben | Counselor | 829 Grakyn Ln, Philadelphia, PA 19128-2005 | 2020-09-24 |
1538776653 | Eric Brown | Counselor | 8227 Thouron Ave, Philadelphia, PA 19150-2018 | 2020-09-24 |
1740896661 | Keya Middleton | Counselor | 2030 N 56th St, Philadelphia, PA 19131-3132 | 2020-09-16 |
1679189641 | Teen Support Center, LLC | Counselor | 1528 Walnut St Ste 2012, Philadelphia, PA 19102-3613 | 2020-09-16 |
1982219879 | Dathan Landon-freeman | Counselor | 7201 Frankford Ave Ste 1017, Philadelphia, PA 19135-1010 | 2020-09-09 |
1700490422 | Outside The Box Strategies, LLC | Counselor | 5340 Angora Ter Fl 2, Philadelphia, PA 19143-3114 | 2020-09-01 |
1346853355 | Lauren Dattilo | Counselor | 10175 Bustleton Ave, Philadelphia, PA 19116-3718 | 2020-08-28 |
1487265229 | Staci A Robinson | Counselor | 3925 N Smedley St, Philadelphia, PA 19140-3420 | 2020-08-14 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19132 |
Please comment or provide details below to improve the information on LYDIA ADETOLU.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.