Provider Demographics
NPI:1235845744
Name:NEFESH PSYCHIATRY LLC
Entity Type:Organization
Organization Name:NEFESH PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZUZANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEGEV
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:386-400-3077
Mailing Address - Street 1:2662 LPGA BLVD # 707
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32124-1008
Mailing Address - Country:US
Mailing Address - Phone:386-400-3077
Mailing Address - Fax:949-404-8439
Practice Address - Street 1:139 EXECUTIVE CIR STE 104
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-7102
Practice Address - Country:US
Practice Address - Phone:386-400-3077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health