Provider Demographics
NPI:1396209474
Name:ENCHANTED BEHAVIORAL HEALTHCARE, PLLC
Entity type:Organization
Organization Name:ENCHANTED BEHAVIORAL HEALTHCARE, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MUNACHISO
Authorized Official - Middle Name:
Authorized Official - Last Name:IHEONUNEKWU
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:713-588-6185
Mailing Address - Street 1:5444 WESTHEIMER RD # 1089
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-5397
Mailing Address - Country:US
Mailing Address - Phone:713-588-6185
Mailing Address - Fax:713-588-6189
Practice Address - Street 1:4539 N 22ND ST STE R
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-4639
Practice Address - Country:US
Practice Address - Phone:713-588-6185
Practice Address - Fax:713-588-6189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-23
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health