Healthcare Provider Details

I. General information

NPI: 1861149064
Provider Name (Legal Business Name): MARIAH ZUR LPC, NBCC, CCTP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2022
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 EMERSON ST
ROCKWOOD PA
15557-6618
US

IV. Provider business mailing address

239 ROTHBURY DR
WHISPERING PINES NC
28327-9533
US

V. Phone/Fax

Practice location:
  • Phone: 814-289-1384
  • Fax:
Mailing address:
  • Phone: 814-799-0074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC014248
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: