Provider Demographics
NPI:1538286570
Name:VIOLA NUNGARY LTD
Entity Type:Organization
Organization Name:VIOLA NUNGARY LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:VIOLA
Authorized Official - Middle Name:E
Authorized Official - Last Name:NUNGARY
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:530-542-0800
Mailing Address - Street 1:PO BOX 13279
Mailing Address - Street 2:
Mailing Address - City:SOUTH LAKE TAHOE
Mailing Address - State:CA
Mailing Address - Zip Code:96151-3279
Mailing Address - Country:US
Mailing Address - Phone:530-542-0800
Mailing Address - Fax:
Practice Address - Street 1:2489 LAKE TAHOE BLVD
Practice Address - Street 2:SUITE 26
Practice Address - City:SOUTH LAKE TAHOE
Practice Address - State:CA
Practice Address - Zip Code:96150-7728
Practice Address - Country:US
Practice Address - Phone:530-542-0800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA MFT 31975106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty