SAM OGUNTADE LCDC NPI 1538442744

NPI Information

  • NPI: 1538442744
  • Provider Name: SAM OGUNTADE, LCDC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 3840 HULEN ST
    HTN, CLIENT ACCOUNTING
    FORT WORTH, TX
    ZIP 76107
  • Phone: (817) 569-4300

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NPI Details

Sam Oguntade, LCDC is an addiction (substance use disorder) counselor in Fort Worth, TX. Sam Oguntade, LCDC NPI is 1538442744. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3840 HULEN ST
HTN, CLIENT ACCOUNTING
FORT WORTH, TX
ZIP 76107-277
Phone: (817) 569-4300

The enumeration date for this NPI number is 9/23/2011 and was last updated on 7/31/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical31014TEXASNo
2101YA0400XCounselorAddiction (Substance Use Disorder)12595TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18EBK56OTHERTEXASBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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