MEDICARE: IRETI COUNSELING AND WELLNESS SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1164365672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IRETI COUNSELING AND WELLNESS SERVICES

Provider Business Mailing Address
First Line	:	6522 RUSTLING TIMBERS LN
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-5024
Country	:	US
Telephone Number	:	325-305-0303
Fax Number	:

Provider Business Practice Location Address
First Line	:	6522 RUSTLING TIMBERS LN
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-5024
Country	:	US
Telephone Number	:	325-305-0303
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ THERAPIST
Name	:	DAMILOLA FUNMILAYO ADESINA
Credential	:	M.ED, LPC-S
Telephone Number	:	832-431-8154

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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