Provider Demographics
NPI:1083975544
Name:NWOMO, HELEN ANIEKAN (BHRS)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:ANIEKAN
Last Name:NWOMO
Suffix:
Gender:F
Credentials:BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 N MOULTON CT
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73127-2720
Mailing Address - Country:US
Mailing Address - Phone:918-730-8212
Mailing Address - Fax:
Practice Address - Street 1:1905 N MOULTON CT
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73127-2720
Practice Address - Country:US
Practice Address - Phone:918-730-8212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional