| Doctor Name: | MRS. RAVITA T. OMABU OKAFOR |
| NPI Number: | 1306854146 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LCSW |
| License Number: | C003304 |
| Business Practice Address: | 7419 Knightdale Blvd Suite 112 Knightdale, NC - 275458825 |
| Business Phone Number: | 9198195971 |
| Business Fax Number: | 9193660333 |
| Mailing Address: | 2905 Nc Highway 97, WENDELL |
| State: | NC |
| Postal Code: | 275919322 |
| Phone Number: | 9198195971 |
| Fax Number: | 9193660333 |
| NPI Enumeration Date: | 08/04/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | C003304 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |