Provider Demographics
NPI:1538968037
Name:OKOREE, ERIC AMANING (CAREGIVER)
Entity type:Individual
Prefix:MR
First Name:ERIC
Middle Name:AMANING
Last Name:OKOREE
Suffix:
Gender:
Credentials:CAREGIVER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6801 GREEN CRESCENT CT
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3098
Mailing Address - Country:US
Mailing Address - Phone:240-304-6769
Mailing Address - Fax:
Practice Address - Street 1:6801 GREEN CRESCENT CT
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3098
Practice Address - Country:US
Practice Address - Phone:240-304-6769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
MDMD-10275586627172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver
No101Y00000XBehavioral Health & Social Service ProvidersCounselor