Provider Demographics
NPI:1639475387
Name:JONES, ZAKIYYAH (LPA)
Entity Type:Individual
Prefix:MS
First Name:ZAKIYYAH
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CENTERVIEW DR STE 309
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-3712
Mailing Address - Country:US
Mailing Address - Phone:336-676-4147
Mailing Address - Fax:
Practice Address - Street 1:1 CENTERVIEW DR STE 309
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-3712
Practice Address - Country:US
Practice Address - Phone:336-676-4147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-28
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
NC4593103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No251S00000XAgenciesCommunity/Behavioral Health