Provider Demographics
NPI:1689297475
Name:ZIMMERMAN THERAPY GROUP
Entity Type:Organization
Organization Name:ZIMMERMAN THERAPY GROUP
Other - Org Name:ZIMMERMAN MARRIAGE AND FAMILY THERAPY
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:559-312-7779
Mailing Address - Street 1:644 POLLASKY AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93612-1883
Mailing Address - Country:US
Mailing Address - Phone:559-387-4123
Mailing Address - Fax:
Practice Address - Street 1:644 POLLASKY AVE STE 203
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-1883
Practice Address - Country:US
Practice Address - Phone:559-387-4123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-27
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty