Healthcare Provider Details

I. General information

NPI: 1992025613
Provider Name (Legal Business Name): MZ THERAPEUTIC CONSULTANTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2010
Last Update Date: 06/23/2021
Certification Date: 06/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 NEW HAMPSHIRE AVE NW
WASHINGTON DC
20011-4734
US

IV. Provider business mailing address

4500 NEW HAMPSHIRE AVE NW
WASHINGTON DC
20011-4734
US

V. Phone/Fax

Practice location:
  • Phone: 917-574-2755
  • Fax: 202-248-7547
Mailing address:
  • Phone: 917-574-2755
  • Fax: 202-248-7547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number27022XXXX-69004462
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number27022XXXX-69004462
License Number StateDC

VIII. Authorized Official

Name: MIGUELINA ZAPATA
Title or Position: PRESIDENT
Credential:
Phone: 202-681-0036