Provider Demographics
NPI:1114274958
Name:COLSON, ZARIEN ATAVIA (MED, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:ZARIEN
Middle Name:ATAVIA
Last Name:COLSON
Suffix:
Gender:F
Credentials:MED, LMHC
Other - Prefix:MS
Other - First Name:ZARIEN
Other - Middle Name:ATAVIA
Other - Last Name:DANIELS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED
Mailing Address - Street 1:165 MAKAYLA LN
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:FL
Mailing Address - Zip Code:32352-3203
Mailing Address - Country:US
Mailing Address - Phone:850-590-2264
Mailing Address - Fax:
Practice Address - Street 1:165 MAKAYLA LN
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:FL
Practice Address - Zip Code:32352-3203
Practice Address - Country:US
Practice Address - Phone:850-590-2264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-11
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12809101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health