Provider Demographics
NPI:1194611970
Name:ADEYEMI, RIFUKAT ADEOLA (MSW, QMHP)
Entity type:Individual
Prefix:
First Name:RIFUKAT
Middle Name:ADEOLA
Last Name:ADEYEMI
Suffix:
Gender:F
Credentials:MSW, QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9354 SALIX GROVE LN
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-9274
Mailing Address - Country:US
Mailing Address - Phone:804-621-9736
Mailing Address - Fax:
Practice Address - Street 1:9354 SALIX GROVE LN
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-9274
Practice Address - Country:US
Practice Address - Phone:804-621-9736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-17
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA13611251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services