| Mr Obioha Chukwuma Nwabugwu, | |
|
1710 E 72nd St, Apt 1306, Tulsa, OK 74136-5348 | |
| (214) 254-0240 | |
| Not Available |
| Full Name | Mr Obioha Chukwuma Nwabugwu |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1710 E 72nd St, Tulsa, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093267684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 85594 (Texas) | Primary |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210326001541 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Obioha Chukwuma Nwabugwu, 1710 E 72nd St Apt 1306, Tulsa, OK 74136-5348 Ph: (214) 254-0240 | Mr Obioha Chukwuma Nwabugwu, 1710 E 72nd St, Apt 1306, Tulsa, OK 74136-5348 Ph: (214) 254-0240 |
Mr. Brian Eugene Abraham, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4845 S Sheridan Rd, Suite 510, Tulsa, OK 74145 Phone: 918-384-0002 Fax: 918-384-0004 | |
Felicia Fagan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1870 S Boulder Ave, Tulsa, OK 74119 Phone: 918-585-1213 Fax: 918-585-1263 | |
Kacy Leigh Duvall, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1516 S Boston Ave, Suite 1, Tulsa, OK 74119 Phone: 918-561-6000 Fax: 918-561-6001 | |
Mr. Daren Hildreth, MAMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2018 E 31st Pl N, Tulsa, OK 74110 Phone: 918-794-8106 | |
Deborah Susan Farber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7633 E 63rd Pl Ste 300, Tulsa, OK 74133 Phone: 539-207-2036 | |
Latisha Fuller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5125 S Utica Ave Apt 4, Tulsa, OK 74105 Phone: 918-734-5259 | |
Todd J Smetana, LPC-UNDER SUPERVISIO Counselor Medicare: Accepting Medicare Assignments Practice Location: 5550 S Garnett Rd, Tulsa, OK 74146 Phone: 918-665-6501 Fax: 918-665-3966 |