Healthcare Provider Details

I. General information

NPI: 1538096110
Provider Name (Legal Business Name): NIYAMA INTEGRATIVE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3220 W INA RD APT 21201
TUCSON AZ
85741-2174
US

IV. Provider business mailing address

3220 W INA RD APT 21201
TUCSON AZ
85741-2174
US

V. Phone/Fax

Practice location:
  • Phone: 520-314-1226
  • Fax:
Mailing address:
  • Phone: 520-314-1226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: NATALIE ZAMUDIO
Title or Position: PRACTICE OWNER/DIRECTOR
Credential: LCSW
Phone: 520-343-5709