Healthcare Provider Details

I. General information

NPI: 1235845744
Provider Name (Legal Business Name): NEFESH PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2023
Last Update Date: 01/12/2026
Certification Date: 01/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 STERTHAUS DR STE A
ORMOND BEACH FL
32174-5132
US

IV. Provider business mailing address

2662 LPGA BLVD # 707
DAYTONA BEACH FL
32124-1008
US

V. Phone/Fax

Practice location:
  • Phone: 386-400-3077
  • Fax: 949-404-8439
Mailing address:
  • Phone: 386-400-3077
  • Fax: 949-404-8439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ZUZANA SEGEV
Title or Position: PRACTICE OWNER
Credential: APRN
Phone: 386-400-3077