Basic Information
| Provider Information | |||||||||
| NPI: | 1083287155 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ONWUKA | ||||||||
| FirstName: | CHIADI | ||||||||
| MiddleName: | |||||||||
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| Credential: | BACHELOR OF SCIENCE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 99198 OVERSEAS HWY | ||||||||
| Address2: | |||||||||
| City: | KEY LARGO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330372455 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 99198 OVERSEAS HWY | ||||||||
| Address2: | |||||||||
| City: | KEY LARGO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330372455 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3054347660 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/19/2021 | ||||||||
| LastUpdateDate: | 07/19/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/19/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.