Healthcare Provider Details

I. General information

NPI: 1861396400
Provider Name (Legal Business Name): NIRWANA HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30624 CHESAPEAKE BAY DR
WESLEY CHAPEL FL
33543-4044
US

IV. Provider business mailing address

30624 CHESAPEAKE BAY DR
WESLEY CHAPEL FL
33543-4044
US

V. Phone/Fax

Practice location:
  • Phone: 475-330-0449
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: AAYUSH PATEL
Title or Position: MANAGER
Credential:
Phone: 475-330-0449