Provider Demographics
NPI:1326813296
Name:ZIHLMAN, AVA RENATA (MS, T-LMHC)
Entity Type:Individual
Prefix:
First Name:AVA
Middle Name:RENATA
Last Name:ZIHLMAN
Suffix:
Gender:F
Credentials:MS, T-LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2611 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:PELLA
Mailing Address - State:IA
Mailing Address - Zip Code:50219-7924
Mailing Address - Country:US
Mailing Address - Phone:614-628-9599
Mailing Address - Fax:
Practice Address - Street 1:2611 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:PELLA
Practice Address - State:IA
Practice Address - Zip Code:50219-7924
Practice Address - Country:US
Practice Address - Phone:614-628-9599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA123485101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health