Provider Demographics
NPI:1114409968
Name:UGBALA, CHIAMAKA E
Entity Type:Individual
Prefix:
First Name:CHIAMAKA
Middle Name:E
Last Name:UGBALA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14511 FALLING CREEK DR STE 203
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1280
Mailing Address - Country:US
Mailing Address - Phone:832-404-8965
Mailing Address - Fax:281-661-8186
Practice Address - Street 1:14511 FALLING CREEK DR STE 203
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1280
Practice Address - Country:US
Practice Address - Phone:832-404-8965
Practice Address - Fax:281-661-8186
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-29
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No251B00000XAgenciesCase Management