Healthcare Provider Details

I. General information

NPI: 1740112689
Provider Name (Legal Business Name): NICOLE ZAROS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7424 BROCK RD
SPOTSYLVANIA VA
22553-2002
US

IV. Provider business mailing address

7424 BROCK RD
SPOTSYLVANIA VA
22553-2002
US

V. Phone/Fax

Practice location:
  • Phone: 540-582-3980
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701016232
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: