Provider Demographics
NPI:1093581654
Name:BAZEL, ZAYLIAH
Entity Type:Individual
Prefix:MS
First Name:ZAYLIAH
Middle Name:
Last Name:BAZEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 SCHENCK DR
Mailing Address - Street 2:
Mailing Address - City:PISGAH FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:28768-9718
Mailing Address - Country:US
Mailing Address - Phone:828-862-6100
Mailing Address - Fax:
Practice Address - Street 1:98 SCHENCK DR
Practice Address - Street 2:
Practice Address - City:PISGAH FOREST
Practice Address - State:NC
Practice Address - Zip Code:28768-9718
Practice Address - Country:US
Practice Address - Phone:828-862-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health