=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891577268
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PURE PSYCHIATRY AND WELLNESS CENTER PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/19/2023
-----------------------------------------------------
Last Update Date | 09/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 26077 NELSON WAY STE 104
-----------------------------------------------------
City | KATY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77494-5664
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 346-615-0010
-----------------------------------------------------
Fax | 281-505-1288
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 26077 NELSON WAY STE 104
-----------------------------------------------------
City | KATY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77494-5664
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 346-615-0010
-----------------------------------------------------
Fax | 281-505-1288
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | OLUCHI BARBARA CHUKWURAH
-----------------------------------------------------
Credential | FNP,PMHNP,RN
-----------------------------------------------------
Telephone | 346-615-0010
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------