Healthcare Provider Details

I. General information

NPI: 1972952612
Provider Name (Legal Business Name): RENEE ZIBARI M.S., LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2016
Last Update Date: 06/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7308 ALMA DR
PLANO TX
75025-3568
US

IV. Provider business mailing address

7308 ALMA DR
PLANO TX
75025-3568
US

V. Phone/Fax

Practice location:
  • Phone: 972-422-5939
  • Fax: 972-509-0923
Mailing address:
  • Phone: 972-422-5939
  • Fax: 972-509-0923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number72430
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: