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MANUEL ALFONSO DAZA MHA
NPI 1811607633
Counselor in Providence, RI

Active since December 02, 2022
134 THURBERS AVE STE 212, PROVIDENCE, RI 02905(401) 383-5051(401) 432-7082 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Manuel Alfonso Daza Mha NPPES

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

MANUEL ALFONSO DAZA MHA (NPI 1811607633) is an individual counselor in Providence, Rhode Island and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1811607633
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMANUEL ALFONSO DAZACredential: MHA
Location Address134 THURBERS AVE STE 212Providence, RI 02905-4721
Mailing Address1 Mansfield Ave Apt B101Mansfield, MA 02048-1995 · (520) 612-9551
Phone(401) 383-5051
Fax(401) 432-7082
Sole ProprietorYes
Enumeration DateDecember 2, 2022
NPPES CertifiedDecember 2, 2022
✔ NPI 1811607633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
134 THURBERS AVE STE 212, Providence, RI 02905
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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 3

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

DR. BRIANNA ROBICHAUD AU.D.
Audiologist
134 THURBERS AVE STE 212
PROVIDENCE, RI 02905
Providence County (401) 453-7618
KATHERINE MICHELLE RODRIGUEZ REGISTERED NURSE
Registered Nurse
134 THURBERS AVE STE 212
PROVIDENCE, RI 02905
Providence County (401) 714-8491
ALEXIS GONZALEZ MENDEZ MED, MBA
Counselor
134 THURBERS AVE STE 212
PROVIDENCE, RI 02905
Providence County (401) 453-7618

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 Manuel Daza's NPI number?

The NPI number for Manuel Daza is 1811607633. It was assigned to this individual provider in the NPPES registry on December 2, 2022.

Where is Manuel Daza located?

Manuel Daza practices at 134 Thurbers Ave Ste 212, Providence, RI 02905. The listed phone number is (401) 383-5051.

What is Manuel Daza's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Manuel Daza was last updated on December 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.