Healthcare Provider Details

I. General information

NPI: 1043139199
Provider Name (Legal Business Name): BLESSING WELLNESS NURSE PRACTITIONER IN PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SHAW AVENUE
VALLEY STREAM NY
11580
US

IV. Provider business mailing address

80 W SUNRISE HWY
VALLEY STREAM NY
11581-1102
US

V. Phone/Fax

Practice location:
  • Phone: 347-305-0655
  • Fax: 347-305-0655
Mailing address:
  • Phone: 347-305-0655
  • Fax: 347-305-0655

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: BLESSING A OKUJI
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 347-305-0655