Provider Demographics
NPI:1821461716
Name:JAMES, ZOTAREALIL ANEESE
Entity Type:Individual
Prefix:
First Name:ZOTAREALIL
Middle Name:ANEESE
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 333
Mailing Address - Street 2:
Mailing Address - City:NATALBANY
Mailing Address - State:LA
Mailing Address - Zip Code:70451-0333
Mailing Address - Country:US
Mailing Address - Phone:985-510-1766
Mailing Address - Fax:
Practice Address - Street 1:14475 PARDO RD
Practice Address - Street 2:
Practice Address - City:NATALBANY
Practice Address - State:LA
Practice Address - Zip Code:70451-0333
Practice Address - Country:US
Practice Address - Phone:985-510-1766
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-02
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health