# ASILI INSTITUTE FOR WOMEN'S BRAIN HEALTH, TRAUMA & RECOVERY

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

## Provider details

- **NPI number:** 1992625735
- **Authorized official:** MS. SELAMAWIT T GEBREZGHI FNP-C, PMHNP-BC (CEO/FOUNDER)
- **Authorized official phone:** (916) 842-8310

## Contact information

- **Practice address:** 558 B ST, SANTA ROSA, CA 95401-5240
- **Practice address phone:** (916) 842-8310
- **Mailing address:** PO BOX 11643, SANTA ROSA, CA 95406-1643
- **Mailing address phone:** (916) 842-8310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | NULL | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/20/2026
- **Last updated:** 10/11/2026
