Healthcare Provider Details

I. General information

NPI: 1316869480
Provider Name (Legal Business Name): CHINELO AGHAJI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3485 MCEVER RD STE 101
GAINESVILLE GA
30504-5542
US

IV. Provider business mailing address

2515 GATEWATER CT
CUMMING GA
30040-0524
US

V. Phone/Fax

Practice location:
  • Phone: 770-758-4940
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: