Provider Demographics
NPI:1417204314
Name:ZAPATA, LOURDES (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:LOURDES
Middle Name:
Last Name:ZAPATA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1925 S PERIMETER RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-7122
Mailing Address - Country:US
Mailing Address - Phone:954-958-0988
Mailing Address - Fax:954-958-3527
Practice Address - Street 1:1925 S PERIMETER RD
Practice Address - Street 2:SUITE 120
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-7122
Practice Address - Country:US
Practice Address - Phone:954-958-0988
Practice Address - Fax:954-958-3527
Is Sole Proprietor?:No
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11357101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health