Wasilat A Adeoluwa, MS

Individual provider Active NPI Mental Health Counselor · Lake Charles, LA

NPI 1619782455 · NPPES record last updated Feb 10, 2025

Key facts

NPI
1619782455
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
4010 Hodges St Apt 17
Lake Charles, LA 70605-2905
Phone
(229) 444-7772
NPI assigned
Feb 10, 2025
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

4010 Hodges St Apt 17
Lake Charles, LA 70605-2905

Mailing address

4010 Hodges St Apt 17
Lake Charles, LA 70605-2905
Phone (229) 444-7772

Other providers in Lake Charles, LA

All providers in Lake Charles, LA · Mental Health Counselor in Louisiana

Sources for this page

Verify at the official NPI Registry.