Provider Demographics
NPI:1902651359
Name:INCLUSIVE PSYCHIATRY LLC
Entity Type:Organization
Organization Name:INCLUSIVE PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:FELICITAS
Authorized Official - Middle Name:CHIOMA
Authorized Official - Last Name:OKWARA
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:713-391-9558
Mailing Address - Street 1:5010 ASHLAND GLEN LN
Mailing Address - Street 2:
Mailing Address - City:MANVEL
Mailing Address - State:TX
Mailing Address - Zip Code:77578-2122
Mailing Address - Country:US
Mailing Address - Phone:713-391-9558
Mailing Address - Fax:
Practice Address - Street 1:3422 BUSINESS CENTER DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-4155
Practice Address - Country:US
Practice Address - Phone:713-391-9558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-19
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health