Healthcare Provider Details

I. General information

NPI: 1417676982
Provider Name (Legal Business Name): ZOOM THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2022
Last Update Date: 08/26/2022
Certification Date: 08/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 SE 2ND AVE STE 550
MIAMI FL
33131-1601
US

IV. Provider business mailing address

25 SE 2ND AVE STE 550 PMB 165
MIAMI FL
33131
US

V. Phone/Fax

Practice location:
  • Phone: 949-295-0709
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: JODI PARIS
Title or Position: PRESIDENT
Credential: LMFT
Phone: 949-295-0709