Provider Demographics
NPI:1477251817
Name:DON ZABLOSKY, LPC, LMFT
Entity Type:Organization
Organization Name:DON ZABLOSKY, LPC, LMFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:ZABLOSKY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LMFT
Authorized Official - Phone:469-855-9107
Mailing Address - Street 1:1350 N BUCKNER BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-3566
Mailing Address - Country:US
Mailing Address - Phone:469-855-9107
Mailing Address - Fax:469-533-5979
Practice Address - Street 1:1350 N BUCKNER BLVD STE 220
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-3566
Practice Address - Country:US
Practice Address - Phone:469-855-9107
Practice Address - Fax:469-533-5979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX161841503Medicaid
TX1618415-03Medicaid