Healthcare Provider Details

I. General information

NPI: 1063715688
Provider Name (Legal Business Name): LORRAINE MARY ZUMAR LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2010
Last Update Date: 12/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3275 NW 99TH WAY
CORAL SPRINGS FL
33065-4024
US

IV. Provider business mailing address

3275 NW 99TH WAY
CORAL SPRINGS FL
33065-4024
US

V. Phone/Fax

Practice location:
  • Phone: 954-357-7957
  • Fax:
Mailing address:
  • Phone: 954-357-7957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH1377
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: