NOVIS VITA LLC NPI 1083396592

NPI Information

  • NPI: 1083396592
  • Provider Name: NOVIS VITA LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 2122 N CRAYCROFT RD STE 120
    TUCSON, AZ
    ZIP 85712
  • Phone: (520) 502-6362

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NPI Details

NOVIS VITA LLC is a mental health (including community mental health center) clinic center in Tucson, AZ. NOVIS VITA LLC NPI is 1083396592. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2122 N CRAYCROFT RD STE 120
TUCSON, AZ
ZIP 85712-829
Phone: (520) 502-6362

The provider's authorized official is Cedric Mfuranzima .
The authorized official title is Administrator and has the following contact phone number (207) 650-8140.

The enumeration date for this NPI number is 8/3/2023 and was last updated on 8/3/2023.

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
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthNo
4101YP2500XCounselorProfessionalNo
5106H00000XMarriage & Family TherapistNo
6106S00000XBehavior TechnicianNo
7163W00000XRegistered NurseNo
8163WA0400XRegistered NurseAddiction (Substance Use Disorder)No
9163WA2000XRegistered NurseAdministratorNo
10163WC0400XRegistered NurseCase ManagementNo
11163WN1003XRegistered NurseNutrition SupportNo
12163WP0809XRegistered NursePsychiatric/Mental Health, AdultNo
13363L00000XNurse PractitionerNo
14363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
15261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

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: 11/21/2025

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