Healthcare Provider Details

I. General information

NPI: 1023815446
Provider Name (Legal Business Name): MR. OLALEKAN OLOYEDE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/25/2025
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14800 SAINT MARYS LN STE 168
HOUSTON TX
77079-2951
US

IV. Provider business mailing address

14800 SAINT MARYS LN STE 168
HOUSTON TX
77079-2951
US

V. Phone/Fax

Practice location:
  • Phone: 832-649-3652
  • Fax:
Mailing address:
  • Phone: 347-481-6604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number93745
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: