Provider Demographics
NPI:1245590454
Name:NESBITT, ZAKIA A (MS, NCC, LPC)
Entity Type:Individual
Prefix:MS
First Name:ZAKIA
Middle Name:A
Last Name:NESBITT
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 HERON POINTE DRIVE
Mailing Address - Street 2:
Mailing Address - City:WHITSETT
Mailing Address - State:NC
Mailing Address - Zip Code:27377-9341
Mailing Address - Country:US
Mailing Address - Phone:336-398-4473
Mailing Address - Fax:
Practice Address - Street 1:2021 HERON POINTE DRIVE
Practice Address - Street 2:
Practice Address - City:WHITSETT
Practice Address - State:NC
Practice Address - Zip Code:27377-9341
Practice Address - Country:US
Practice Address - Phone:336-398-4473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5164101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103022Medicaid