Provider Demographics
NPI:1043880883
Name:NZINGA'S PLACE
Entity Type:Organization
Organization Name:NZINGA'S PLACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LIC. PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MIESHA
Authorized Official - Middle Name:N
Authorized Official - Last Name:WILLIAMS-JEANTY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, LADC I, MCAP
Authorized Official - Phone:617-440-4650
Mailing Address - Street 1:66 W FLAGLER ST STE 900
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-1807
Mailing Address - Country:US
Mailing Address - Phone:305-306-7409
Mailing Address - Fax:
Practice Address - Street 1:66 W FLAGLER ST STE 900
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130
Practice Address - Country:US
Practice Address - Phone:617-440-4650
Practice Address - Fax:305-402-7906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-24
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty