LYDIA ADETOLU


Address: 2514 N Broad St, Philadelphia, PA 19132-4013
Phone: 2679405004

LYDIA ADETOLU (NPI# 1073966685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

Office Location

Street Address 2514 N BROAD ST
City PHILADELPHIA
State PA
Zip Code 19132-4013

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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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
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Competitor

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City PHILADELPHIA
Zip Code 19132

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Dataset Information

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.

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