MEDICARE: CHINAZA NICOLE NJOKU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	104100000X	Social Worker
3	1041C0700X	Clinical Social Worker
4	106H00000X	Marriage & Family Therapist
5	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1811825813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHINAZA NICOLE NJOKU

Provider Business Mailing Address
First Line	:	1105 TOWN BLVD NE UNIT 1715
Second Line	:
City	:	BROOKHAVEN
State	:	GA
Zip	:	30319-3600
Country	:	US
Telephone Number	:	678-603-6401
Fax Number	:

Provider Business Practice Location Address
First Line	:	3485 N DESERT DR
Second Line	:
City	:	EAST POINT
State	:	GA
Zip	:	30344-5724
Country	:	US
Telephone Number	:	770-933-5328
Fax Number	:	470-980-0507

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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Directions to “ CHINAZA NICOLE NJOKU ” Practice Location

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