NINO GURGENIDZE
NPI 1205457447
Counselor - Mental Health in Santa Cruz, CA
Active since April 28, 2020
380 ENCINAL ST STE 200, SANTA CRUZ, CA 95060(831) 469-1700(831) 425-1905 Get Directions Write a Review
About Nino Gurgenidze NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NINO GURGENIDZE (NPI 1205457447) is an individual mental health provider in Santa Cruz, California and active in the NPI registry since April 2020.
NPPES Registry Identity
NPI1205457447
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNINO GURGENIDZE
Location Address380 ENCINAL ST STE 200Santa Cruz, CA 95060-2178
Mailing Address380 Encinal St Ste 200Santa Cruz, CA 95060-2178 · (831) 469-1700 · Fax (831) 425-1905
Phone(831) 469-1700
Fax(831) 425-1905
Sole ProprietorNo
Enumeration DateApril 28, 2020
NPPES CertifiedApril 28, 2020
✔ NPI 1205457447 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
380 ENCINAL ST STE 200, Santa Cruz, CA 95060
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060
SANTA CRUZ, CA 95060
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205457447, enumerated as an "individual" on April 28, 2020.
The provider is located at 380 ENCINAL ST STE 200 SANTA CRUZ, CA 95060 and the phone number is (831) 469-1700.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
