Healthcare Provider Details

I. General information

NPI: 1932085636
Provider Name (Legal Business Name): ZEINA HOUSSEYKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2025
Last Update Date: 08/24/2026
Certification Date: 08/15/2025
Deactivation Date: 08/25/2025
Reactivation Date: 08/24/2026

III. Provider practice location address

1862 HEATHER GLEN CT
WOODBRIDGE VA
22191-3400
US

IV. Provider business mailing address

1687 S GORDON ST SW
ATLANTA GA
30310-2335
US

V. Phone/Fax

Practice location:
  • Phone: 571-427-1408
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: