Provider Demographics
NPI:1568199396
Name:GANIES, ZAKIERA
Entity Type:Individual
Prefix:
First Name:ZAKIERA
Middle Name:
Last Name:GANIES
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 1:124 ASHBOURNE TRCE
Mailing Address - Street 2:
Mailing Address - City:STOKESDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27357-8536
Mailing Address - Country:US
Mailing Address - Phone:336-327-6665
Mailing Address - Fax:
Practice Address - Street 1:3859 BATTLEGROUND AVE STE 302
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-9802
Practice Address - Country:US
Practice Address - Phone:336-370-5240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-02
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health