Healthcare Provider Details

I. General information

NPI: 1629863832
Provider Name (Legal Business Name): ZAKIYA SIZEMORE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2025
Last Update Date: 04/10/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 MAIN ST STE 203
PRINCE FREDERICK MD
20678-6111
US

IV. Provider business mailing address

2548 GREEN TREE DR S APT A
LEXINGTON PARK MD
20653-3770
US

V. Phone/Fax

Practice location:
  • Phone: 301-373-3065
  • Fax: 240-309-4131
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: