Healthcare Provider Details

I. General information

NPI: 1316593627
Provider Name (Legal Business Name): ZIPHEALTHY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2019
Last Update Date: 01/19/2020
Certification Date: 01/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

504 RUSTIC CREEK LN
CAVE SPRINGS AR
72718-8820
US

IV. Provider business mailing address

504 RUSTIC CREEK LN
CAVE SPRINGS AR
72718-8820
US

V. Phone/Fax

Practice location:
  • Phone: 914-768-3026
  • Fax:
Mailing address:
  • Phone: 914-768-3026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. STEPHEN VELASQUEZ
Title or Position: MANAGING PARTNER
Credential: MSW
Phone: 914-768-3026