Provider Demographics
NPI:1619843315
Name:AKINLOFA, OMOWUMI ENIOLA
Entity type:Individual
Prefix:
First Name:OMOWUMI
Middle Name:ENIOLA
Last Name:AKINLOFA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4410 ANTRIM CT
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001-2638
Mailing Address - Country:US
Mailing Address - Phone:301-246-8094
Mailing Address - Fax:
Practice Address - Street 1:1531 ROCKVILLE PIKE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1601
Practice Address - Country:US
Practice Address - Phone:301-246-8094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-11
Last Update Date:2025-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP15845101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health