MEDICARE: EKWUTOSI WINIFRED OKAFOR LPCA, LCDC, NCC, CCS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	101526	TX
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	16274	TX

General Provider Information

NPI Number	:	1811448798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EKWUTOSI WINIFRED OKAFOR LPCA, LCDC, NCC, CCS

Provider Business Mailing Address
First Line	:	752 N MAIN ST UNIT 513
Second Line	:
City	:	MANSFIELD
State	:	TX
Zip	:	76063-3257
Country	:	US
Telephone Number	:	469-537-8853
Fax Number	:

Provider Business Practice Location Address
First Line	:	752 N MAIN ST
Second Line	:	#513
City	:	MANSFIELD
State	:	TX
Zip	:	76063-3229
Country	:	US
Telephone Number	:	469-537-8853
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2016
Last Update Date	:	02/03/2026

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