Provider Demographics
NPI:1134001027
Name:MCCRACKEN, OYINDAMOLA (LPC)
Entity type:Individual
Prefix:
First Name:OYINDAMOLA
Middle Name:
Last Name:MCCRACKEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3620 CHING DAIRY LOOP RD W
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36618-4276
Mailing Address - Country:US
Mailing Address - Phone:404-771-6090
Mailing Address - Fax:
Practice Address - Street 1:358 SAINT LOUIS ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36602-2825
Practice Address - Country:US
Practice Address - Phone:404-771-6090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC05647101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty