Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Oluwatosin Adefalu

Individual provider Professional Counselor · NPI 1538884960

Mary Oluwatosin Adefalu is a Mental Health Counselor in Lagrange, Georgia. Qualified in 2021, 5 years ago. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2022

Practice location Address checks out

122 Gordon Commercial Dr
Lagrange, GA 30240-5754
Phone: (706) 845-4045
Fax: (706) 845-4367
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC015400 (GA)

Record details

NPI number1538884960
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 7, 2022
Last updated in NPPESFebruary 15, 2025
Certification dateFebruary 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Lagrange