Healthcare Provider Details

I. General information

NPI: 1144696535
Provider Name (Legal Business Name): OBYKE HEALTH CARE SERVICES,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2015
Last Update Date: 08/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3028 GENTILLY BLVD
NEW ORLEANS LA
70122-3808
US

IV. Provider business mailing address

3028 GENTILLY BLVD
NEW ORLEANS LA
70122-3808
US

V. Phone/Fax

Practice location:
  • Phone: 504-948-6080
  • Fax: 504-948-6089
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number73186
License Number StateLA

VIII. Authorized Official

Name: NEBECHI PAULIN CHUKWU
Title or Position: LICENCE PROFESSIONAL COUNSELOR
Credential: LPC/NCP
Phone: 504-948-6080