Healthcare Provider Details

I. General information

NPI: 1982485389
Provider Name (Legal Business Name): HEIDI ZURBUCH CDCA, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2023
Last Update Date: 03/13/2025
Certification Date: 03/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 LINCOLN WAY E
MASSILLON OH
44646-6829
US

IV. Provider business mailing address

721 LINCOLN WAY E
MASSILLON OH
44646-6829
US

V. Phone/Fax

Practice location:
  • Phone: 844-802-7769
  • Fax: 330-409-9081
Mailing address:
  • Phone: 844-802-7769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDCA.183529
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberAPS.003449
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2511878
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: