Provider Demographics
NPI:1457015695
Name:WEST, NZINGHA
Entity Type:Individual
Prefix:
First Name:NZINGHA
Middle Name:
Last Name:WEST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2704 W MARKET ST # 49782
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-1559
Mailing Address - Country:US
Mailing Address - Phone:336-790-8868
Mailing Address - Fax:
Practice Address - Street 1:2806 RANDLEMAN RD STE N
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-5266
Practice Address - Country:US
Practice Address - Phone:336-790-8868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-25
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst