Healthcare Provider Details

I. General information

NPI: 1942485750
Provider Name (Legal Business Name): ESTHER TITILAYO OGUNJIMI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ESTHER TITILAYO OGUNJIMI PH.D

II. Dates (important events)

Enumeration Date: 12/31/2007
Last Update Date: 05/24/2023
Certification Date: 05/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11971 FIREBIRD DR
HOUSTON TX
77099-4050
US

IV. Provider business mailing address

11971 FIREBIRD DR
HOUSTON TX
77099-4050
US

V. Phone/Fax

Practice location:
  • Phone: 713-447-0635
  • Fax:
Mailing address:
  • Phone: 713-447-0635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number40326
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number40326
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: