GEORGE OLORUNFEMI ADEOLA OLUSA


Address: 5651 S Mesquite Grove Way, Chandler, AZ 85249-9670
Phone: 4802400412

GEORGE OLORUNFEMI ADEOLA OLUSA (NPI# 1528667953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528667953
Entity Type Individual
Full Name GEORGE OLORUNFEMI ADEOLA OLUSA
Credential CHAPLAIN/PASTOR
Practice Address 5651 S Mesquite Grove Way
Chandler
AZ 85249-9670
Mailing Address Po Box 12301
Chandler
AZ 85248-0022
Practice Telephone 4802400412
Mailing Telephone 4802400412
Enumeration Date 2020-10-17
Last Update Date 2020-10-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor D04019037 AZ Behavioral Health & Social Service Providers
Y 101YP1600X Counselor
Specialization: Pastoral
D04019037 AZ Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ AZ STATE MVD D04019037 01

Office Location

Street Address 5651 S MESQUITE GROVE WAY
City CHANDLER
State AZ
Zip Code 85249-9670

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Taxonomy Information

Taxonomy Code 101YP1600X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Pastoral

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285866996 David Burgess Counselor 1411 Steele Ave, Chandler, OK 74834-4219 2009-08-13
1831423946 Carolyn Marsh Counselor 1411 Steele Ave, Chandler, OK 74834-4219 2009-09-22
1114159472 Darlene Harbert Counselor 1411 Steele Ave, Chandler, OK 74834-4219 2009-08-19
1134351844 Ellisworth Hardiman Counselor 1411 Steele Ave, Chandler, OK 74834-4219 2009-08-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851992705 Heatheranne Baker-oldfield Counselor 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 2020-11-06
1114530540 Kimetta Arniece Coleman Counselor 2375 E Camelback Rd # 628, Phoenix, AZ 85016-3424 2020-08-25
1649882721 Shirli Regev Counselor 9851 W Lone Cactus Dr, Peoria, AZ 85382-0549 2020-08-19
1922620913 Veronica Ramirez Counselor 7805 S 27th Way, Phoenix, AZ 85042-7079 2020-05-12
1922628908 Melinda H Connor Counselor 31907 South Davis Ranch Rd, Marana, AZ 85658 2020-04-20
1366947681 Lisa Marie Smith Counselor 14435 N 7th St Ste 106, Phoenix, AZ 85022-4371 2018-03-28
1043733025 Margaret K Franklin Counselor 9299 W Olive Ave Ste 212, Peoria, AZ 85345-8382 2017-07-20
1861929689 Carol Mack Counselor 1530 N Country Club Dr Ste 19, Mesa, AZ 85201-2560 2017-05-11
1871027250 Shawn Breeden Counselor 4196 E Whitehall Dr, San Tan Valley, AZ 85140-7647 2017-04-12
1902342645 Paula Bishop Counselor 2301 E Sahuarita Rd, Sahuarita, AZ 85629-9465 2017-01-18
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Competitor

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City CHANDLER
Zip Code 85249

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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