Provider Demographics
NPI:1710169628
Name:ZIMMERMAN, VALINDA SUE (RN, MA, LPC)
Entity Type:Individual
Prefix:
First Name:VALINDA
Middle Name:SUE
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:RN, MA, LPC
Other - Prefix:
Other - First Name:VALINDA
Other - Middle Name:SUE
Other - Last Name:ROGERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:3237 RED OAK LN
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-3709
Mailing Address - Country:US
Mailing Address - Phone:214-493-9429
Mailing Address - Fax:817-796-1247
Practice Address - Street 1:1909 CENTRAL DR STE 303
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-5846
Practice Address - Country:US
Practice Address - Phone:214-493-9429
Practice Address - Fax:817-796-1247
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13312101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional