OMOLOLA KATE EBODA LCPC
NPI 1427758648
Counselor - Mental Health in Fayetteville, NC
Active since March 07, 2023
About Omolola Kate Eboda Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OMOLOLA KATE EBODA LCPC (NPI 1427758648) is an individual mental health provider in Fayetteville, North Carolina, licensed in Maryland (LC16364) and active in the NPI registry since March 2023.
NPPES Registry Identity
NPI1427758648
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameOMOLOLA KATE EBODACredential: LCPC
Location Address3625 SAPPHIRE RDFayetteville, NC 28303-9401
Mailing Address3625 Sapphire RdFayetteville, NC 28303-9401 · (404) 232-5417
Phone(404) 232-5417
Sole ProprietorYes
Enumeration DateMarch 7, 2023
Last NPPES UpdateMay 11, 20262 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1427758648 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MD · LC16364
3625 SAPPHIRE RD, Fayetteville, NC 28303
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427758648, enumerated as an "individual" on March 07, 2023.
The provider is located at 3625 SAPPHIRE RD FAYETTEVILLE, NC 28303 and the phone number is (404) 232-5417.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
