Provider Demographics
NPI:1053123661
Name:ADEDIJI, BISOLA JANET (MS, LMFT-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:BISOLA
Middle Name:JANET
Last Name:ADEDIJI
Suffix:
Gender:F
Credentials:MS, LMFT-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:629 W CENTERVILLE RD STE 206
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75041-5428
Mailing Address - Country:US
Mailing Address - Phone:214-702-1571
Mailing Address - Fax:
Practice Address - Street 1:629 W CENTERVILLE RD STE 206
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-5428
Practice Address - Country:US
Practice Address - Phone:214-702-1571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX205892106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist