Healthcare Provider Details

I. General information

NPI: 1710230263
Provider Name (Legal Business Name): SONIA ESTIVAL VILA ASW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/22/2012
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 WINDSOR PARK DR
DAYTON OH
45459-4112
US

IV. Provider business mailing address

515 WINDSOR PARK DR
DAYTON OH
45459-4112
US

V. Phone/Fax

Practice location:
  • Phone: 510-252-5813
  • Fax:
Mailing address:
  • Phone: 937-723-9881
  • Fax: 937-723-9888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number34614
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: