MINERVA VILLAFANE MD NPI 1073587895

NPI Information

NPI: 1073587895
Provider Name: MINERVA VILLAFANE, MD
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

Address:
PATHWAYS CENTER
122-C GORDON COMMERCIAL DR
LAGRANGE, GA
ZIP 30240
Phone: (706) 845-4045
Get Directions

Minerva Villafane, MD is a child and adolescent psychiatry psychiatry neurology in Lagrange, GA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Minerva Villafane, MD NPI is 1073587895. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

PATHWAYS CENTER
122-C GORDON COMMERCIAL DR
LAGRANGE, GA
ZIP 30240-754
Phone: (706) 845-4045
Fax: (706) 845-4367

The enumeration date for this NPI number is 2/16/2006 and was last updated on 7/10/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	MD439863	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000856413A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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