Provider Demographics
NPI:1386484442
Name:AKARONU, ELEANYA OKOR
Entity type:Individual
Prefix:
First Name:ELEANYA
Middle Name:OKOR
Last Name:AKARONU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4324 CANDLE CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-5060
Mailing Address - Country:US
Mailing Address - Phone:919-271-4717
Mailing Address - Fax:
Practice Address - Street 1:845 BURTON ST
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27803-2546
Practice Address - Country:US
Practice Address - Phone:919-271-4717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health