Omabu Okafor, Ravita T.
Omabu Okafor, Ravita T. is an sole proprietor health care provider with primary practice located at 7419 Knightdale Blvd Suite 112, Knightdale NC 27545-8825. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Omabu Okafor, Ravita T. can be contacted via phone (919) 819-5971.Contact Information
Primary practice address
7419 Knightdale Blvd Suite 112
Knightdale NC 27545-8825
Phone: (919) 819-5971
Fax: (919) 366-0333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | C003304 | North Carolina |
Profile Details
| NPI number | 1306854146 |
|---|---|
| LBN Legal business name | Omabu Okafor, Ravita T. |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306854146 | NPPES |
| North Carolina | MEDICAID | 6002782 |
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