Healthcare Provider Details

I. General information

NPI: 1265280846
Provider Name (Legal Business Name): ZODU COUNSELING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2024
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2981 W STATE ROAD 434 STE 300
LONGWOOD FL
32779-4838
US

IV. Provider business mailing address

2981 W STATE ROAD 434 STE 300
LONGWOOD FL
32779-4838
US

V. Phone/Fax

Practice location:
  • Phone: 407-559-7093
  • Fax:
Mailing address:
  • Phone: 407-559-7093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number
License Number State

VIII. Authorized Official

Name: EFRAIN DUANY
Title or Position: PRESIDENT
Credential: LMFT
Phone: 973-652-4850