Provider Demographics
NPI:1437976941
Name:NORAH COMP MENTAL HEALTH CARE
Entity type:Organization
Organization Name:NORAH COMP MENTAL HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:CHITOM
Authorized Official - Middle Name:PEARL
Authorized Official - Last Name:AZUBIKE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:832-651-0491
Mailing Address - Street 1:11403 OAK LAKE POINT DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7001
Mailing Address - Country:US
Mailing Address - Phone:832-326-5251
Mailing Address - Fax:
Practice Address - Street 1:11403 OAK LAKE POINT DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-7001
Practice Address - Country:US
Practice Address - Phone:206-313-6816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health