Healthcare Provider Details

I. General information

NPI: 1740105600
Provider Name (Legal Business Name): RANA MARIE ZOROUFCHI LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 SOUTH KINGSHIGHWAY
SAINT LOUIS MO
63110
US

IV. Provider business mailing address

PO BOX 410109
SAINT LOUIS MO
63141-0109
US

V. Phone/Fax

Practice location:
  • Phone: 314-276-6455
  • Fax:
Mailing address:
  • Phone: 314-276-6455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2026024660
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: