Healthcare Provider Details
I. General information
NPI: 1467525758
Provider Name (Legal Business Name): STEVEN R. ZEIGLER LPC, LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/16/2006
Last Update Date: 09/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
224 GREAT BRIDGE BLVD
CHESAPEAKE VA
23320-3904
US
IV. Provider business mailing address
224 GREAT BRIDGE BLVD
CHESAPEAKE VA
23320-3904
US
V. Phone/Fax
- Phone: 757-547-9334
- Fax: 757-819-6292
- Phone: 757-547-9334
- Fax: 757-819-6292
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 0701002641 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | 0717000882 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: