Healthcare Provider Details

I. General information

NPI: 1639759624
Provider Name (Legal Business Name): SARAH ZOGHBI PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2021
Last Update Date: 04/13/2021
Certification Date: 04/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 PINK ST APT 1
METAIRIE LA
70005-3439
US

IV. Provider business mailing address

2123 S LOPEZ ST
NEW ORLEANS LA
70125-4437
US

V. Phone/Fax

Practice location:
  • Phone: 504-457-7951
  • Fax:
Mailing address:
  • Phone: 504-259-8837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: