Healthcare Provider Details

I. General information

NPI: 1962327981
Provider Name (Legal Business Name): ZION MARTIN LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1322 KINGSTON OAKS
PRATTVILLE AL
36067-8520
US

IV. Provider business mailing address

1322 KINGSTON OAKS
PRATTVILLE AL
36067-8520
US

V. Phone/Fax

Practice location:
  • Phone: 205-915-5254
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC06068
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: