Provider Demographics
NPI:1437182755
Name:DALILA, NZINGHA (EDD,PCC-S,LCOC-III)
Entity Type:Individual
Prefix:MS
First Name:NZINGHA
Middle Name:
Last Name:DALILA
Suffix:
Gender:F
Credentials:EDD,PCC-S,LCOC-III
Other - Prefix:
Other - First Name:NZINGHA
Other - Middle Name:DALILA
Other - Last Name:VICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PC
Mailing Address - Street 1:PO BOX 636256
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6256
Mailing Address - Country:US
Mailing Address - Phone:513-585-6200
Mailing Address - Fax:513-245-3672
Practice Address - Street 1:2751 O'VARSITY WAY
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45221-0001
Practice Address - Country:US
Practice Address - Phone:513-558-7700
Practice Address - Fax:513-558-5055
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLCDC.091004-3101YA0400X
OHE0500349103TC0700X
OHLCDCIII091004103TC1900X
OHE.0500349-SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000356242OtherANTHEM PIN
OH174842311985OtherHUMANA ID