Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Nidia Delsy Pravongviengkham, MS

Individual provider Marriage & Family Therapist · NPI 1235384066

Mrs. Nidia Delsy Pravongviengkham, MS is a Marriage & Family Therapist in Moreno Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

13800 Heacock St Ste C236
Moreno Valley, CA 92553-3364
Phone: (951) 653-0819
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Marriage & Family Therapist Taxonomy 106H00000X · Licence IMF 54676 (CA)

Record details

NPI number1235384066
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorYes
NPI enumeratedNovember 20, 2008
Last updated in NPPESNovember 14, 2012

Other providers in Moreno Valley