Provider Demographics
NPI:1881123354
Name:ONYEMECHARA, REGINA
Entity type:Individual
Prefix:MRS
First Name:REGINA
Middle Name:
Last Name:ONYEMECHARA
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 1:2414 FERRAND ST STE 1
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-3249
Mailing Address - Country:US
Mailing Address - Phone:318-325-0072
Mailing Address - Fax:318-325-0070
Practice Address - Street 1:2414 FERRAND STREET
Practice Address - Street 2:STE. 1
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201
Practice Address - Country:US
Practice Address - Phone:318-325-0072
Practice Address - Fax:318-325-0070
Is Sole Proprietor?:No
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health