Provider Demographics
NPI:1447046990
Name:NYASAFARI, FLORA
Entity type:Individual
Prefix:
First Name:FLORA
Middle Name:
Last Name:NYASAFARI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1308 CAMP HILL WAY
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45449-5501
Mailing Address - Country:US
Mailing Address - Phone:937-813-0773
Mailing Address - Fax:
Practice Address - Street 1:1308 CAMP HILL WAY
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45449-5501
Practice Address - Country:US
Practice Address - Phone:937-813-0773
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101Y00000XBehavioral Health & Social Service ProvidersCounselor