Provider Demographics
NPI:1144232380
Name:OKAFOR, MARY CHINELO (EDD, LPC-S)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:CHINELO
Last Name:OKAFOR
Suffix:
Gender:F
Credentials:EDD, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8344 E RL THRTN FWY
Mailing Address - Street 2:STE 418
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-7135
Mailing Address - Country:US
Mailing Address - Phone:214-435-6414
Mailing Address - Fax:877-773-9382
Practice Address - Street 1:8344 E RL THRTN FWY
Practice Address - Street 2:STE 418
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-7135
Practice Address - Country:US
Practice Address - Phone:214-435-6414
Practice Address - Fax:877-773-9382
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2017-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15688101YA0400X, 101YM0800X, 101YP2500X, 101YS0200X, 106H00000X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6123LCOtherBC/BS PIN
TX028635301Medicaid
TX155451OtherVALUE OPTIONS PIN
TX7896512OtherAETNA PIN
TXH06123LC01OtherBC/BS PIN