Organization
MIVA MENTAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKOUVI DZIGBODI AMOUZOUVI-ABA NP (OWNER)
(409) 356-9778
Entity
Organization
Contact information
Practice address
1614 NORDIC HILL CIR, SILVER SPRING, MD 20906-5927
(409) 356-9778
Mailing address
1614 NORDIC HILL CIR, SILVER SPRING, MD 20906-5927
(409) 356-9778
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
09/27/2024
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