Healthcare Provider Details

I. General information

NPI: 1508740747
Provider Name (Legal Business Name): ANN ZIFCHAK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2025
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

477 ALLYN ST
AKRON OH
44304-1850
US

IV. Provider business mailing address

12900 EDGERTON RD
NORTH ROYALTON OH
44133-4332
US

V. Phone/Fax

Practice location:
  • Phone: 216-956-8468
  • Fax:
Mailing address:
  • Phone: 216-956-8468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: