Provider Demographics
NPI:1437334737
Name:ZIEMANN, ABBIE B
Entity Type:Individual
Prefix:MRS
First Name:ABBIE
Middle Name:B
Last Name:ZIEMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 MIRACLE STRIP PKWY SW
Mailing Address - Street 2:SUITE B-3
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32548-5200
Mailing Address - Country:US
Mailing Address - Phone:850-862-3772
Mailing Address - Fax:850-863-4574
Practice Address - Street 1:348 MIRACLE STRIP PKWY SW
Practice Address - Street 2:SUITE B-3
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32548-5200
Practice Address - Country:US
Practice Address - Phone:850-862-3772
Practice Address - Fax:850-863-4574
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-04
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6775101YP2500X
FLPMH1345101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional