Provider Demographics
NPI:1053501486
Name:CHRISTINA ZIMMERMAN, LMFT, LLC
Entity Type:Organization
Organization Name:CHRISTINA ZIMMERMAN, LMFT, LLC
Other - Org Name:CHRISTINA ZIMMERMAN, LMFT, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:803-372-7222
Mailing Address - Street 1:1721 EBENEZER RD
Mailing Address - Street 2:SUITE 215
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-4103
Mailing Address - Country:US
Mailing Address - Phone:803-366-7404
Mailing Address - Fax:
Practice Address - Street 1:1721 EBENEZER RD
Practice Address - Street 2:SUITE 215
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-4103
Practice Address - Country:US
Practice Address - Phone:803-366-7404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2007-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty