Healthcare Provider Details

I. General information

NPI: 1548006497
Provider Name (Legal Business Name): ZIFA COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2024
Last Update Date: 07/01/2024
Certification Date: 07/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 WILLBROOK BLVD STE S1015
PAWLEYS ISLAND SC
29585-6541
US

IV. Provider business mailing address

115 WILLBROOK BLVD STE S1015
PAWLEYS ISLAND SC
29585-6541
US

V. Phone/Fax

Practice location:
  • Phone: 515-423-5585
  • Fax:
Mailing address:
  • Phone: 515-423-5585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ZIFA SOPHIA HACKETT
Title or Position: SOLE OWNER, COULSELOR
Credential: LPC
Phone: 515-423-5585