Provider Demographics
NPI:1083287155
Name:ONWUKA, CHIADI (CNHP, CBHCM, MHA)
Entity type:Individual
Prefix:
First Name:CHIADI
Middle Name:
Last Name:ONWUKA
Suffix:
Gender:
Credentials:CNHP, CBHCM, MHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2551 SE 16TH TER UNIT 108
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33035-2477
Mailing Address - Country:US
Mailing Address - Phone:609-457-5616
Mailing Address - Fax:
Practice Address - Street 1:2551 SE 16TH TER UNIT 108
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33035-2477
Practice Address - Country:US
Practice Address - Phone:609-457-5616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-19
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
FLCBHCM.01061532083P0901X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine