# THESELAH WELLNESS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144901315
- **Authorized official:** DR. KALU OKORIE DNP (DNP)
- **Authorized official phone:** (480) 360-1002

## Contact information

- **Practice address:** 16416 W DESERT MIRAGE DR, SURPRISE, AZ 85388-5491
- **Practice address phone:** (480) 360-1002
- **Mailing address:** 16416 W DESERT MIRAGE DR, SURPRISE, AZ 85388-5491
- **Mailing address phone:** (480) 360-1002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2023
- **Last updated:** 09/09/2024