Basic Information
| Provider Information | |||||||||
| NPI: | 1891217436 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | EMECHETA | ||||||||
| FirstName: | CHINWENDU | ||||||||
| MiddleName: | HAPPINESS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 103 MEADOWDALE CT APT 201 | ||||||||
| Address2: | |||||||||
| City: | CARPENTERSVILLE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601102047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2246345179 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1845 GRANDSTAND PL | ||||||||
| Address2: | |||||||||
| City: | ELGIN | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601236603 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8476950484 | ||||||||
| FaxNumber: | 8476951265 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/14/2017 | ||||||||
| LastUpdateDate: | 07/14/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.