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MIVA PSYCHOTHERAPY
NPI 1104439413
Counselor - Professional in St Charles, IL

Active since August 26, 2020
475 DUNHAM RD STE 1E, ST CHARLES, IL 60174(331) 276-2355 Get Directions Write a Review

NPPES record last updated: October 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2020, Sep 13, 2020, Aug 27, 2020 (3 updates tracked since 2020).

About Miva Psychotherapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIVA PSYCHOTHERAPY (NPI 1104439413) is a healthcare organization registered as a professional in St Charles, Illinois and active in the NPI registry since August 2020. The organization lists Ayaovi Esenam Amezotchi, Therapist, as its authorized official.

NPPES Registry Identity

NPI1104439413
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameMIVA PSYCHOTHERAPY
Location Address475 DUNHAM RD STE 1ESt Charles, IL 60174-1498
Mailing Address590 E Thorndale LnSouth Elgin, IL 60177-3205 · (630) 674-2405
Phone(331) 276-2355
Organization SubpartNo
Authorized OfficialAyaovi Esenam AmezotchiTherapist · (630) 674-2405
Enumeration DateAugust 26, 2020
Last NPPES UpdateOctober 3, 20203 updates tracked since enumeration
NPPES CertifiedOctober 3, 2020
✔ NPI 1104439413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
475 DUNHAM RD STE 1E, St Charles, IL 60174
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIRECTIONS COUNSELING CENTER, LLC
Social Worker
475 DUNHAM RD STE 1E
ST CHARLES, IL 60174
Kane County (630) 492-1493

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miva Psychotherapy's NPI number?

The NPI number for Miva Psychotherapy is 1104439413. It was assigned to this organization in the NPPES registry on August 26, 2020.

Where is Miva Psychotherapy located?

Miva Psychotherapy is located at 475 Dunham Rd Ste 1E, St Charles, IL 60174. The listed phone number is (331) 276-2355.

What is Miva Psychotherapy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Miva Psychotherapy was last updated on October 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.