Healthcare Provider Details

I. General information

NPI: 1750939336
Provider Name (Legal Business Name): MS. XINYUN ZHANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. KAIKAI ZHANG

II. Dates (important events)

Enumeration Date: 08/28/2019
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 E LAFAYETTE ST STE 5
TALLAHASSEE FL
32301-4547
US

IV. Provider business mailing address

1030 E LAFAYETTE ST STE 5
TALLAHASSEE FL
32301-4547
US

V. Phone/Fax

Practice location:
  • Phone: 404-939-4626
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT4765
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2303461
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberF.2300337
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: