Provider Demographics
NPI:1730976408
Name:OLADIMEJI, BABATUNDE ENOCH (PLMHP)
Entity type:Individual
Prefix:
First Name:BABATUNDE
Middle Name:ENOCH
Last Name:OLADIMEJI
Suffix:
Gender:M
Credentials:PLMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 HERITAGE CT
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-4464
Mailing Address - Country:US
Mailing Address - Phone:623-203-5092
Mailing Address - Fax:
Practice Address - Street 1:1905 HERITAGE CT
Practice Address - Street 2:
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-4464
Practice Address - Country:US
Practice Address - Phone:623-203-5092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE14313101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health