IFEOMA UMELO NPI 1790322725

NPI Information

NPI: 1790322725
Provider Name: IFEOMA UMELO
Classification: Clinic/Center - 261QM0850X
Entity Type: Individual

Specialization: Adult Mental Health

Address:
1921 WATERS DR
RALEIGH, NC
ZIP 27610
Phone: (919) 539-9223
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Ifeoma Umelo is an adult mental health clinic center in Raleigh, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. Ifeoma Umelo NPI is 1790322725. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1921 WATERS DR
RALEIGH, NC
ZIP 27610-836
Phone: (919) 539-9223

The enumeration date for this NPI number is 12/10/2019 and was last updated on 12/10/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	MHL-092-973	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C201919301765	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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