Healthcare Provider Details

I. General information

NPI: 1467782870
Provider Name (Legal Business Name): STEPHANIE ROSE ZAPATA LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2010
Last Update Date: 03/04/2022
Certification Date: 03/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18623 GALE AVE
CITY OF INDUSTRY CA
91748-1342
US

IV. Provider business mailing address

18623 GALE AVE
CITY OF INDUSTRY CA
91748-1342
US

V. Phone/Fax

Practice location:
  • Phone: 626-348-3493
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT78396
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: