Provider Demographics
NPI:1619531092
Name:OCHENATU, MADALINA (CRC, LPCA)
Entity Type:Individual
Prefix:
First Name:MADALINA
Middle Name:
Last Name:OCHENATU
Suffix:
Gender:F
Credentials:CRC, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7325 HENSON FOREST DR
Mailing Address - Street 2:
Mailing Address - City:SUMMERFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27358-8314
Mailing Address - Country:US
Mailing Address - Phone:248-495-8164
Mailing Address - Fax:888-819-6694
Practice Address - Street 1:5107 SOUTHPARK DR STE 204
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-8402
Practice Address - Country:US
Practice Address - Phone:919-589-3550
Practice Address - Fax:888-819-6694
Is Sole Proprietor?:No
Enumeration Date:2019-05-01
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
00387921101Y00000X
NCA14885101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
00387921OtherCRC
NCA14885OtherLPC ASSOCIATE