Provider Demographics
NPI:1356149538
Name:NZOMBI, BENEDICTE N
Entity type:Individual
Prefix:
First Name:BENEDICTE
Middle Name:N
Last Name:NZOMBI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BENEDICTE
Other - Middle Name:N
Other - Last Name:TASKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:201 S 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3464
Mailing Address - Country:US
Mailing Address - Phone:509-469-2085
Mailing Address - Fax:
Practice Address - Street 1:201 S 2ND AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3464
Practice Address - Country:US
Practice Address - Phone:509-469-2085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61656585101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health