Healthcare Provider Details

I. General information

NPI: 1447115126
Provider Name (Legal Business Name): ADULLAM COUNSELING AND TRAUMA CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 AGNES RD
KNOXVILLE TN
37919-6306
US

IV. Provider business mailing address

250 MAYFIELD DR UNIT 1162
SMYRNA TN
37167-3245
US

V. Phone/Fax

Practice location:
  • Phone: 615-241-0704
  • Fax:
Mailing address:
  • Phone: 615-241-0704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: OLUWATOYIN AJOGBEJE
Title or Position: PRACTICE OWNER
Credential: LCSW
Phone: 615-241-0704