Provider Demographics
NPI:1023896727
Name:OLASEINDE, TIMEKA (MS)
Entity type:Individual
Prefix:MRS
First Name:TIMEKA
Middle Name:
Last Name:OLASEINDE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 E 42ND ST APT 1W
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60653-4858
Mailing Address - Country:US
Mailing Address - Phone:773-332-8789
Mailing Address - Fax:
Practice Address - Street 1:207 E 42ND ST APT 1W
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60653-4858
Practice Address - Country:US
Practice Address - Phone:773-332-8789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-15
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health