Healthcare Provider Details

I. General information

NPI: 1164043618
Provider Name (Legal Business Name): SOPHIA ZAPF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2020
Last Update Date: 05/06/2020
Certification Date: 05/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2805 GILBERT AVE
CINCINNATI OH
45206-1210
US

IV. Provider business mailing address

224 IRELAND AVE
CINCINNATI OH
45218-1104
US

V. Phone/Fax

Practice location:
  • Phone: 513-599-4317
  • Fax:
Mailing address:
  • Phone: 513-240-9867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1.1501365-SUPV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: