Provider Demographics
NPI:1629873229
Name:ALLGRACE PSYCHIATRIC CLINIC PLLC
Entity type:Organization
Organization Name:ALLGRACE PSYCHIATRIC CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RNP,PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:NCHEKWUBE
Authorized Official - Middle Name:CYNTHIA
Authorized Official - Last Name:OKAFOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-587-8053
Mailing Address - Street 1:10928 W ELM ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-1093
Mailing Address - Country:US
Mailing Address - Phone:602-587-8053
Mailing Address - Fax:
Practice Address - Street 1:10928 W ELM ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-1093
Practice Address - Country:US
Practice Address - Phone:623-476-6125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty