Provider Demographics
NPI:1609339589
Name:COLON, ZAMIRA (DOCTOR IN MINISTRY)
Entity Type:Individual
Prefix:DR
First Name:ZAMIRA
Middle Name:
Last Name:COLON
Suffix:
Gender:F
Credentials:DOCTOR IN MINISTRY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5951 NW 173RD DR UNIT 3
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-5126
Mailing Address - Country:US
Mailing Address - Phone:786-299-2644
Mailing Address - Fax:
Practice Address - Street 1:5951 NW 173RD DR UNIT 3
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-5126
Practice Address - Country:US
Practice Address - Phone:786-299-2644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-09
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTTC-III-07-30-1812101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral