Healthcare Provider Details

I. General information

NPI: 1467394361
Provider Name (Legal Business Name): LANS ANGELS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13831 SAN PABLO AVE BLDG 3
SAN PABLO CA
94806-3703
US

IV. Provider business mailing address

405 AVERSBORO RD STE 400
GARNER NC
27529-3869
US

V. Phone/Fax

Practice location:
  • Phone: 919-986-7787
  • Fax: 919-944-7329
Mailing address:
  • Phone: 919-986-7787
  • Fax: 919-944-7329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. KELECHI C UWAKWE
Title or Position: MENTAL HEALTH PROVIDER
Credential: DNP, FNP-BC, PMH-BC
Phone: 919-986-7787