Provider Demographics
NPI:1083489991
Name:RENA'S PSYCHIATRY PLLC
Entity Type:Organization
Organization Name:RENA'S PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:REUBEN
Authorized Official - Middle Name:N
Authorized Official - Last Name:OKEMWA
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:469-693-6744
Mailing Address - Street 1:1633 E KELTON LN
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-9193
Mailing Address - Country:US
Mailing Address - Phone:469-693-6744
Mailing Address - Fax:
Practice Address - Street 1:1633 E KELTON LN
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-9193
Practice Address - Country:US
Practice Address - Phone:469-693-6744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility