Provider Demographics
NPI:1851769814
Name:INYANG, ZAKIA
Entity Type:Individual
Prefix:
First Name:ZAKIA
Middle Name:
Last Name:INYANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ZAKIA
Other - Middle Name:
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7111 AL PATTERSON DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75241-4402
Mailing Address - Country:US
Mailing Address - Phone:214-505-6410
Mailing Address - Fax:
Practice Address - Street 1:1175 KINWEST PARKWAY
Practice Address - Street 2:100
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063
Practice Address - Country:US
Practice Address - Phone:214-505-6410
Practice Address - Fax:469-314-8706
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-08
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71782101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health