Healthcare Provider Details

I. General information

NPI: 1861356784
Provider Name (Legal Business Name): NADIYA L FERDINAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 BANNER LN NW APT 711
WASHINGTON DC
20001-6150
US

IV. Provider business mailing address

44 BANNER LN NW APT 711
WASHINGTON DC
20001-6150
US

V. Phone/Fax

Practice location:
  • Phone: 404-542-2218
  • Fax:
Mailing address:
  • Phone: 404-542-2218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: