Healthcare Provider Details

I. General information

NPI: 1801700117
Provider Name (Legal Business Name): OBAFEMI ADEKOYA MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 E MAIN ST APT 102
RICHMOND VA
23231-1101
US

IV. Provider business mailing address

4501 E MAIN ST APT 102
RICHMOND VA
23231-1101
US

V. Phone/Fax

Practice location:
  • Phone: 804-634-7085
  • Fax: 804-716-2157
Mailing address:
  • Phone: 804-634-7085
  • Fax: 804-716-2157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number0732006067
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: