Provider Demographics
NPI:1124586557
Name:OKEKE, NNENNA NWAMAKA (QMHP)
Entity Type:Individual
Prefix:
First Name:NNENNA
Middle Name:NWAMAKA
Last Name:OKEKE
Suffix:
Gender:F
Credentials:QMHP
Other - Prefix:
Other - First Name:NNENNA
Other - Middle Name:
Other - Last Name:MBACHU-OKEKE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:QMHP-CS
Mailing Address - Street 1:PO BOX 332
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77497-0332
Mailing Address - Country:US
Mailing Address - Phone:832-882-6774
Mailing Address - Fax:
Practice Address - Street 1:6428 BANKSIDE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-5613
Practice Address - Country:US
Practice Address - Phone:832-882-6774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-05
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator