Provider Demographics
NPI:1861635872
Name:ANDREA ZUFLACHT, MS, LPC & ASSOCIATES
Entity Type:Organization
Organization Name:ANDREA ZUFLACHT, MS, LPC & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUFLACHT
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:210-299-3709
Mailing Address - Street 1:455 S MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78204-1133
Mailing Address - Country:US
Mailing Address - Phone:210-299-3709
Mailing Address - Fax:210-225-5901
Practice Address - Street 1:455 S MAIN AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78204-1133
Practice Address - Country:US
Practice Address - Phone:210-299-3709
Practice Address - Fax:210-225-5901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17496101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty