Healthcare Provider Details

I. General information

NPI: 1831636422
Provider Name (Legal Business Name): CYNTHIA AMARACHI OKOJIE FNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2017
Last Update Date: 06/16/2021
Certification Date: 06/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5718 WESTHEIMER RD STE 1000
HOUSTON TX
77057-9903
US

IV. Provider business mailing address

5090 RICHMOND AVE # 247
HOUSTON TX
77056-7402
US

V. Phone/Fax

Practice location:
  • Phone: 832-576-2101
  • Fax:
Mailing address:
  • Phone: 832-576-2101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP132561
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP132561
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: