Provider Demographics
NPI:1740614148
Name:DIAZ, ZAHIRA LUZ (LPC)
Entity Type:Individual
Prefix:MRS
First Name:ZAHIRA
Middle Name:LUZ
Last Name:DIAZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NN46 CALLE 32
Mailing Address - Street 2:SANTA JUANITA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-4764
Mailing Address - Country:US
Mailing Address - Phone:787-761-3172
Mailing Address - Fax:
Practice Address - Street 1:NN46 CALLE 32
Practice Address - Street 2:SANTA JUANITA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-4764
Practice Address - Country:US
Practice Address - Phone:787-761-3172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-21
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR003041101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional