Healthcare Provider Details
I. General information
NPI: 1629326517
Provider Name (Legal Business Name): CARMEN EMILIA ZIERS MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/27/2012
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
431 E HORATIO AVE STE 310
MAITLAND FL
32751-4560
US
IV. Provider business mailing address
3211 CALUMET DR
ORLANDO FL
32810-2023
US
V. Phone/Fax
- Phone: 407-459-0474
- Fax: 407-916-6014
- Phone: 407-701-7723
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | LMH 10159 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | LMH10159 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: