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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AYOOLA FADEYI

Deactivated Sole Proprietor

AYOOLA FADEYI is a Rehabilitation Counselor healthcare provider located in ROSWELL, Georgia. NPI 1154876415 is deactivated in the NPPES registry. Verify at CMS.

Rehabilitation Counselor · ROSWELL, GA

This NPI has been deactivated. The record was deactivated on August 7, 2020. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1154876415
Provider Type
Individual
Gender
Female
NPI Issued
Aug 16, 2016 (3.9754098360656 yrs)
Last Updated
Nov 5, 2024
Deactivated
Aug 7, 2020
Licenses
34147 (GA)
055852853 (GA)
Sole Proprietor
Yes

Practice Information

Address
1446 BELLSMITH DR
ROSWELL, GA, 300760921
Browse GA providers · Browse ZIP 30076
Phone
9174452420
Primary Specialty
Rehabilitation Counselor
225C00000X
Additional Specialty
Private Vehicle
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.