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General NPI Number Information
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NPI Number | 1972392363
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Entity Type | Organization
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Legal Business Name | NOWTHRIVE MENTAL HEALTH AND WELLNESS CENTER LLC
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Dates
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Enumeration Date | 05/02/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 18460 KERILL RD
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City | TRIANGLE
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State | VA
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Zip | 22172-2082
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Country | US
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Telephone | 571-527-6737
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Fax | 703-221-9191
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Provider Business Mailing Address
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Address Line | 18460 KERILL RD
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City | TRIANGLE
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State | VA
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Zip | 22172-2082
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Country | US
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Telephone | 571-527-6737
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Fax | 703-221-9191
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Authorized Official
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Title or Position | OWNER OF ENTITY
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Name | CHIKA OKEOMA
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Credential | DNP, CNP, PMHNP-BC
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Telephone | 571-527-6737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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