Healthcare Provider Details

I. General information

NPI: 1538080197
Provider Name (Legal Business Name): CHUO INTEGRATIVE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605 HUNTWOOD PARK CT
WEST BLOOMFIELD MI
48324-3998
US

IV. Provider business mailing address

1605 HUNTWOOD PARK CT
WEST BLOOMFIELD MI
48324-3998
US

V. Phone/Fax

Practice location:
  • Phone: 313-520-6551
  • Fax:
Mailing address:
  • Phone: 313-520-6551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: EMMANUEL NGWAINBI
Title or Position: OWNER
Credential: PMHNP
Phone: 313-520-6551