Provider Demographics
NPI:1285521849
Name:ODUGBELA-OLAMUYIWA, RACHAEL (LMHC-A)
Entity type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:
Last Name:ODUGBELA-OLAMUYIWA
Suffix:
Gender:F
Credentials:LMHC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 FREIGHT ST APT 36
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-2375
Mailing Address - Country:US
Mailing Address - Phone:401-688-9687
Mailing Address - Fax:
Practice Address - Street 1:242 DEXTER ST
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-1908
Practice Address - Country:US
Practice Address - Phone:401-556-0819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00370-A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health