Healthcare Provider Details

I. General information

NPI: 1518240548
Provider Name (Legal Business Name): ORLANDO ZAPATA MS, LPC, PSSSP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2011
Last Update Date: 09/26/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 DICKSON DR SUITE 24
AUSTIN TX
78704-4796
US

IV. Provider business mailing address

2111 DICKSON DR SUITE 24
AUSTIN TX
78704-4796
US

V. Phone/Fax

Practice location:
  • Phone: 512-994-9027
  • Fax:
Mailing address:
  • Phone: 512-994-9027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number65199
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: