Provider Demographics
NPI:1710633052
Name:ZAMORA, STORMY LEE (MED, LPC ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:STORMY
Middle Name:LEE
Last Name:ZAMORA
Suffix:
Gender:F
Credentials:MED, LPC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 KRAMER LN
Mailing Address - Street 2:APT. #N2512
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-4487
Mailing Address - Country:US
Mailing Address - Phone:956-655-8697
Mailing Address - Fax:
Practice Address - Street 1:3000 KRAMER LN
Practice Address - Street 2:APT. #N2512
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-4487
Practice Address - Country:US
Practice Address - Phone:956-655-8697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-24
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86411101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional