Provider Demographics
NPI:1003607144
Name:ATOLAGBE, ADEBOLA NIMOTALLAH (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ADEBOLA
Middle Name:NIMOTALLAH
Last Name:ATOLAGBE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3726 BRIGHT MOON CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-2145
Mailing Address - Country:US
Mailing Address - Phone:832-310-7198
Mailing Address - Fax:
Practice Address - Street 1:3726 BRIGHT MOON CT
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-2145
Practice Address - Country:US
Practice Address - Phone:832-310-7198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1194685363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health