MEDICARE: ZOLA COUNSELING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	C008773	NC

General Provider Information

NPI Number	:	1285080671
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZOLA COUNSELING PLLC

Provider Business Mailing Address
First Line	:	6135 PARK SOUTH DR STE 260
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-3272
Country	:	US
Telephone Number	:	980-428-6195
Fax Number	:	704-220-2366

Provider Business Practice Location Address
First Line	:	6135 PARK SOUTH DR STE 260
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-3272
Country	:	US
Telephone Number	:	980-428-6195
Fax Number	:	704-220-2366

Authorized Official
Title or Position	:	OWNER
Name	:	REBEKAH SPEARS TALLEY
Credential	:
Telephone Number	:	980-428-6195

Provider Enumeration Date	:	05/04/2016
Last Update Date	:	12/23/2025

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