Provider Demographics
NPI:1811582638
Name:VAN ZYL, SARINA FRANCESCA (LMHC)
Entity Type:Individual
Prefix:
First Name:SARINA
Middle Name:FRANCESCA
Last Name:VAN ZYL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 STEVENS DR
Mailing Address - Street 2:
Mailing Address - City:HOLBROOK
Mailing Address - State:MA
Mailing Address - Zip Code:02343-1239
Mailing Address - Country:US
Mailing Address - Phone:310-663-4607
Mailing Address - Fax:
Practice Address - Street 1:70 STEVENS DR
Practice Address - Street 2:
Practice Address - City:HOLBROOK
Practice Address - State:MA
Practice Address - Zip Code:02343-1239
Practice Address - Country:US
Practice Address - Phone:310-663-4607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-03
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA12231-MH-CC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health