Provider Demographics
NPI:1972392363
Name:NOWTHRIVE MENTAL HEALTH AND WELLNESS CENTER LLC
Entity type:Organization
Organization Name:NOWTHRIVE MENTAL HEALTH AND WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OF ENTITY
Authorized Official - Prefix:
Authorized Official - First Name:CHIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKEOMA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, CNP, PMHNP-BC
Authorized Official - Phone:571-527-6737
Mailing Address - Street 1:18460 KERILL RD
Mailing Address - Street 2:
Mailing Address - City:TRIANGLE
Mailing Address - State:VA
Mailing Address - Zip Code:22172-2082
Mailing Address - Country:US
Mailing Address - Phone:571-527-6737
Mailing Address - Fax:703-221-9191
Practice Address - Street 1:18460 KERILL RD
Practice Address - Street 2:
Practice Address - City:TRIANGLE
Practice Address - State:VA
Practice Address - Zip Code:22172-2082
Practice Address - Country:US
Practice Address - Phone:571-527-6737
Practice Address - Fax:703-221-9191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty