# MIVA MENTAL HEALTHCARE

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

## Provider details

- **NPI number:** 1386487643
- **Authorized official:** AKOUVI DZIGBODI AMOUZOUVI-ABA NP (OWNER)
- **Authorized official phone:** (409) 356-9778

## Contact information

- **Practice address:** 1614 NORDIC HILL CIR, SILVER SPRING, MD 20906-5927
- **Practice address phone:** (409) 356-9778
- **Mailing address:** 1614 NORDIC HILL CIR, SILVER SPRING, MD 20906-5927
- **Mailing address phone:** (409) 356-9778

## 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:** 06/14/2024
- **Last updated:** 09/27/2024