Healthcare Provider Details

I. General information

NPI: 1659202836
Provider Name (Legal Business Name): TODD MCNEAL ZIRKLE CSAC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 REHOBOTH LN NE
FLOYD VA
24091-1130
US

IV. Provider business mailing address

9 OVERLOOK DR APT B12
CHRISTIANSBURG VA
24073-1974
US

V. Phone/Fax

Practice location:
  • Phone: 540-745-4001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0710104025
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: