Provider Demographics
NPI:1619344041
Name:IGBEKA, FELIX
Entity Type:Individual
Prefix:
First Name:FELIX
Middle Name:
Last Name:IGBEKA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5904 NW 71ST ST
Mailing Address - Street 2:
Mailing Address - City:WARR ACRES
Mailing Address - State:OK
Mailing Address - Zip Code:73132-6518
Mailing Address - Country:US
Mailing Address - Phone:405-921-5962
Mailing Address - Fax:
Practice Address - Street 1:3000 UNITED FOUNDERS BLVD
Practice Address - Street 2:SUITE 128
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112
Practice Address - Country:US
Practice Address - Phone:405-607-4922
Practice Address - Fax:405-607-4963
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-02
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health