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NPI Code Detail

MEDICARE: MRS. ALISHA ADEBAYO LCSW

MEDICARE:  MRS. ALISHA  ADEBAYO  LCSW
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1699070789
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALISHA ADEBAYO LCSW
Provider Business Mailing Address
First Line : 8710 GRAND MISSION BLVD STE H
Second Line :
City : RICHMOND
State : TX
Zip : 77407-5413
Country : US
Telephone Number : 832-604-3963
Fax Number :
Provider Business Practice Location Address
First Line : 10310 GOODMANVILLE CT
Second Line :
City : RICHMOND
State : TX
Zip : 77407-2660
Country : US
Telephone Number : 832-318-4456
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2011
Last Update Date : 01/14/2026

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