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General NPI Number Information
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NPI Number | 1790658136
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Entity Type | Individual
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Provider Name | JUSTIN O ADEKOYA LCSW
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Gender | Male
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 312 S 4TH ST STE 700
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City | LOUISVILLE
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State | KY
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Zip | 40202-3046
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Country | US
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Telephone | 646-941-7645
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Fax | 929-596-7897
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Provider Business Mailing Address
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Address Line | PO BOX 670296
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City | DALLAS
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State | TX
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Zip | 75267-0296
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Country | US
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Telephone | 646-941-7645
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Fax | 929-596-7897
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 255456
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License Number State | KY
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