Healthcare Provider Details

I. General information

NPI: 1598164378
Provider Name (Legal Business Name): UCHECHI FLORENCE OKORIE-MAZI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FLORENCE UCHECHI OKORIE

II. Dates (important events)

Enumeration Date: 08/18/2014
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4024 BARRETT DR STE 201
RALEIGH NC
27609-6625
US

IV. Provider business mailing address

221 STOKE HAMMOND CT
ROLESVILLE NC
27571-9003
US

V. Phone/Fax

Practice location:
  • Phone: 919-295-0177
  • Fax:
Mailing address:
  • Phone: 919-633-9041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC010043
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberC010043
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: