Healthcare Provider Details

I. General information

NPI: 1447178827
Provider Name (Legal Business Name): SIMONE ZESCHUK MARRIAGE AND FAMILY THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28752 BOLANOS
MISSION VIEJO CA
92692-1055
US

IV. Provider business mailing address

28752 BOLANOS
MISSION VIEJO CA
92692-1055
US

V. Phone/Fax

Practice location:
  • Phone: 512-698-0437
  • Fax:
Mailing address:
  • Phone: 512-698-0437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: SIMONE ZESCHUK
Title or Position: OWNER/THERAPIST
Credential: LMFT
Phone: 512-698-0437