National Provider Identifier

Osaze Batholomew Ibhawa

Osaze Batholomew Ibhawa is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Jamestown, NY and a listed phone number of (347) 781-4214.

NPI 1710712120Jamestown, NYMental Health Counselor

Profile Overview

NPI
1710712120
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
September 05, 2024
Last Updated
October 26, 2024

Practice Location

  • 779 Fairmount Ave
  • Jamestown, NY 14701-2608

Phone: (347) 781-4214

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1710712120
Entity Type
Individual
Last Name
Ibhawa
First Name
Osaze
Middle Name
Batholomew
Mailing Street Address
779 Fairmount Ave
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-2608
Mailing Country
US
Mailing Phone
(716) 322-9088
Practice Street Address
779 Fairmount Ave
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-2608
Practice Country
US
Practice Phone
(347) 781-4214
Enumeration Date
September 05, 2024
Last Updated
October 26, 2024
Sex
Male
Sole Proprietor
Yes
Certification Date
October 26, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)