Provider Demographics
NPI:1255847083
Name:PAYRAVIAN, ZAHRA (LPC)
Entity Type:Individual
Prefix:
First Name:ZAHRA
Middle Name:
Last Name:PAYRAVIAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4101 W SPRING CREEK PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-5293
Mailing Address - Country:US
Mailing Address - Phone:469-939-7916
Mailing Address - Fax:972-599-2332
Practice Address - Street 1:4101 W SPRING CREEK PKWY STE 100
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-5293
Practice Address - Country:US
Practice Address - Phone:469-939-7916
Practice Address - Fax:972-599-2332
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-15
Last Update Date:2017-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73716101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional