Provider Demographics
NPI:1851282651
Name:MOSHA, OLARIP ABRAHAM
Entity type:Individual
Prefix:
First Name:OLARIP
Middle Name:ABRAHAM
Last Name:MOSHA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4717 EIDERDOWN CT
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-6212
Mailing Address - Country:US
Mailing Address - Phone:202-830-9207
Mailing Address - Fax:
Practice Address - Street 1:2706 BLADENSBURG RD NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-1425
Practice Address - Country:US
Practice Address - Phone:202-255-2574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health