Provider Demographics
NPI:1417769068
Name:ONWUDI, AMOR'LYFE JONAE
Entity type:Individual
Prefix:
First Name:AMOR'LYFE
Middle Name:JONAE
Last Name:ONWUDI
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 1:4900 MERIDIAN ST NW # 217
Mailing Address - Street 2:
Mailing Address - City:NORMAL
Mailing Address - State:AL
Mailing Address - Zip Code:35762-7500
Mailing Address - Country:US
Mailing Address - Phone:209-986-1152
Mailing Address - Fax:
Practice Address - Street 1:4900 MERIDIAN ST NW # 217
Practice Address - Street 2:
Practice Address - City:NORMAL
Practice Address - State:AL
Practice Address - Zip Code:35762-7500
Practice Address - Country:US
Practice Address - Phone:209-986-1152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician