Provider Demographics
NPI:1003583709
Name:NGATIA, VICTORIA (LPCC)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:NGATIA
Suffix:
Gender:
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 E MAIN AVE STE F
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58501-4502
Mailing Address - Country:US
Mailing Address - Phone:701-751-1006
Mailing Address - Fax:701-425-0597
Practice Address - Street 1:801 E MAIN AVE STE F
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58501-4502
Practice Address - Country:US
Practice Address - Phone:701-751-1006
Practice Address - Fax:701-425-0597
Is Sole Proprietor?:No
Enumeration Date:2021-08-30
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1148-9-1-124A101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty