Healthcare Provider Details

I. General information

NPI: 1518838895
Provider Name (Legal Business Name): LISBETTE ZAVALA BSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LIZ ZAVALA BSW

II. Dates (important events)

Enumeration Date: 09/17/2025
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 WASHTENAW AVE STE 100
ANN ARBOR MI
48104-4500
US

IV. Provider business mailing address

2300 WASHTENAW AVE STE 100
ANN ARBOR MI
48104-4500
US

V. Phone/Fax

Practice location:
  • Phone: 734-585-5587
  • Fax: 248-439-0515
Mailing address:
  • Phone: 734-585-5587
  • Fax: 248-439-0515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: