Healthcare Provider Details

I. General information

NPI: 1134535321
Provider Name (Legal Business Name): MARJORIE ZURBARAN MENTAL HEALTH COUNSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2014
Last Update Date: 07/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3691 NW 124TH AVE.
CORAL SPRINGS FL
33065
US

IV. Provider business mailing address

3691 NW 124TH AVE.
CORAL SPRINGS FL
33065
US

V. Phone/Fax

Practice location:
  • Phone: 954-345-8384
  • Fax: 954-703-5752
Mailing address:
  • Phone: 954-345-8384
  • Fax: 954-703-5752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH4868
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: