Provider Demographics
NPI:1396400776
Name:EKEANYANWU, BLESSING O
Entity Type:Individual
Prefix:
First Name:BLESSING
Middle Name:O
Last Name:EKEANYANWU
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 1:24614 E ARIZONA PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-6074
Mailing Address - Country:US
Mailing Address - Phone:303-885-8080
Mailing Address - Fax:
Practice Address - Street 1:24614 E ARIZONA PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80018-6074
Practice Address - Country:US
Practice Address - Phone:303-885-8080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-01
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No171M00000XOther Service ProvidersCase Manager/Care Coordinator