Provider Demographics
NPI:1124753751
Name:SALAKO, OLAWUMI OLURANTI
Entity type:Individual
Prefix:MRS
First Name:OLAWUMI
Middle Name:OLURANTI
Last Name:SALAKO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 PINECREST DR STE 700
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-2950
Mailing Address - Country:US
Mailing Address - Phone:972-665-7251
Mailing Address - Fax:855-568-2494
Practice Address - Street 1:6500 PINECREST DR STE 700
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-2950
Practice Address - Country:US
Practice Address - Phone:248-579-2178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-18
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
TX7867103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst