| Nzinga Mind And Heart | |
|
5 Washington St Ste 300 Valparaiso IN 46383-4769 | |
| (866) 220-0238 | |
| (866) 220-0238 |
| Full Name | Nzinga Mind And Heart |
|---|---|
| Speciality | Counselor |
| Location | 5 Washington St Ste 300, Valparaiso, Indiana |
| Authorized Official Name and Position | Trevaughn Davis-neal (LCSW, OWNER) |
| Authorized Official Contact | 7087156793 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nzinga Mind And Heart 128 S East St Unit 627 Crown Point IN 46308-3450 Ph: (866) 220-0238 | Nzinga Mind And Heart 5 Washington St Ste 300 Valparaiso IN 46383-4769 Ph: (866) 220-0238 |
| NPI Number | 1073271615 |
|---|---|
| Provider Enumeration Date | 12/01/2021 |
| Last Update Date | 01/03/2022 |
| Certification Date | 01/03/2022 |
| Medicare PECOS PAC ID | 0840681243 |
|---|---|
| Medicare Enrollment ID | O20220215000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073271615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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