| Omotoke Adewale, | |
|
5325 Broder Blvd, Dublin, CA 94568-3309 | |
| (925) 557-6254 | |
| Not Available |
| Full Name | Omotoke Adewale |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 5325 Broder Blvd, Dublin, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245626860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 142875 (California) | Primary |
| Entity Name | Destiny Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124893482 PECOS PAC ID: 1052833985 Enrollment ID: O20250319003970 |
| Mailing Address | Practice Location Address |
|---|---|
| Omotoke Adewale, 5325 Broder Blvd, Dublin, CA 94568-3309 Ph: () - | Omotoke Adewale, 5325 Broder Blvd, Dublin, CA 94568-3309 Ph: (925) 557-6254 |
Maria Julia Rivas, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11750 Dublin Blvd, Suite #200, Dublin, CA 94568 Phone: 925-280-8220 Fax: 925-280-8220 | |
Ms. Jean Helen Loyd, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11875 Dublin Blvd Ste D274, Dublin, CA 94568 Phone: 925-828-9249 Fax: 925-939-6131 | |
Mrs. Janine Susan Laux-trautwein, MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 11750 Dublin Blvd, Suite 200, Dublin, CA 94568 Phone: 510-610-2158 Fax: 925-456-6009 | |
Svetlana Lesova, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5325 Broder Blvd, Dublin, CA 94568 Phone: 925-551-5009 | |
Katelyn Tsukamaki, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5325 Broder Blvd, Dublin, CA 94568 Phone: 925-551-6905 | |
Mr. Nicholas Ramirez, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 8633 Briarwood Ln, Dublin, CA 94568 Phone: 510-902-3030 | |
Hayley Dawn Holland, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5325 Broder Blvd, Dublin, CA 94568 Phone: 925-551-6740 |