Provider Demographics
NPI:1194686279
Name:ONYEKWERE, ADAUGO ELIZABETH
Entity type:Individual
Prefix:
First Name:ADAUGO
Middle Name:ELIZABETH
Last Name:ONYEKWERE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3436 BELAIR RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21213-1294
Mailing Address - Country:US
Mailing Address - Phone:410-725-3424
Mailing Address - Fax:
Practice Address - Street 1:3436 BELAIR RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21213-1294
Practice Address - Country:US
Practice Address - Phone:410-725-3424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-19
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP17268101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional