Provider Demographics
NPI:1598541567
Name:OKOLO, ANULI
Entity Type:Individual
Prefix:
First Name:ANULI
Middle Name:
Last Name:OKOLO
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 1:2869 ESTATE VIEW CT
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-4017
Mailing Address - Country:US
Mailing Address - Phone:470-349-5300
Mailing Address - Fax:
Practice Address - Street 1:SALVEO INTEGRATIVE HEALTH
Practice Address - Street 2:311 GWINNETT DRIVE
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046
Practice Address - Country:US
Practice Address - Phone:770-910-9196
Practice Address - Fax:770-910-9195
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA262413163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health