MEDICARE: MRS. OLUWAKEMI IYABO AMOLA PHD, LCMHC

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	251S00000X	Community/Behavioral Health Agency	7110	NC
2	101Y00000X	Counselor	7110	NC

General Provider Information

NPI Number	:	1568612554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. OLUWAKEMI IYABO AMOLA PHD, LCMHC

Provider Business Mailing Address
First Line	:	8612 NEUSE STONE DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-7886
Country	:	US
Telephone Number	:	919-452-1577
Fax Number	:

Provider Business Practice Location Address
First Line	:	1073 BULLARD CT
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-6867
Country	:	US
Telephone Number	:	888-557-4080
Fax Number	:	919-249-2150

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2008
Last Update Date	:	10/07/2021

Similar Medicare Providers

1881821866 — MS. MARGARET ANN MASTERS LCSW
Practice Location Address:

1073 BULLARD CT
RALEIGH, NC
27615-6867

Practice Phone: 888-557-4080
Practice Fax: 919-249-2150

1861705162 — VOICE THERAPEUTIC SOLUTIONS PLLC
Practice Location Address:

1073 BULLARD CT
RALEIGH, NC
27615-6867

Practice Phone: 919-452-1577
Practice Fax:

1619456712 — ANDREA RASHIKA LILES
Practice Location Address:

1073 BULLARD CT
RALEIGH, NC
27615-6867

Practice Phone: 888-557-4080
Practice Fax:

1295694685 — HEALING PATHWAYS SUPPORT AND WELLNESS LLC
Practice Location Address:

5303 RIVER REACH DR
RALEIGH, NC
27616-6867

Practice Phone: 919-480-7596
Practice Fax:

1083146450 — DR. VIRAJ MAYUR PATEL M.D.
Practice Location Address:

3906 WAKE FOREST RD
RALEIGH, NC
27609-6867

Practice Phone: 919-766-8989
Practice Fax: 919-766-8896

1871114991 — JACQUELINE MARIE SLOAN PA-C
Practice Location Address:

3906 WAKE FOREST RD
RALEIGH, NC
27609-6867

Practice Phone: 716-880-4413
Practice Fax: 919-350-7687

Directions to “ MRS. OLUWAKEMI IYABO AMOLA PHD, LCMHC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.