Basic Information
Provider Information
NPI: 1669520367
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OJEAH
FirstName: SYLVESTER
MiddleName: ISIKWEI
NamePrefix: MR.
NameSuffix:  
Credential: MA, LPC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9100 SOUTHWEST FWY
Address2: SUITE 151
City: HOUSTON
State: TX
PostalCode: 770741519
CountryCode: US
TelephoneNumber: 7134574372
FaxNumber: 7134570945
Practice Location
Address1: 9100 SOUTHWEST FWY
Address2: SUITE 151
City: HOUSTON
State: TX
PostalCode: 770741519
CountryCode: US
TelephoneNumber: 7134574372
FaxNumber: 7134570945
Other Information
ProviderEnumerationDate: 01/08/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YP2500X16735TXY Behavioral Health & Social Service ProvidersCounselorProfessional

No ID Information.


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