Healthcare Provider Details

I. General information

NPI: 1962351817
Provider Name (Legal Business Name): EUNICE ADEOLA MSN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8609 WESTWOOD CENTER DR STE 110
TYSONS CORNER VA
22182-7525
US

IV. Provider business mailing address

3709 S GEORGE MASON DR APT 1214E
FALLS CHURCH VA
22041-3747
US

V. Phone/Fax

Practice location:
  • Phone: 703-722-4828
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0024195967
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberR252298
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: