Provider Demographics
NPI:1871223990
Name:LI, MINZI (NCC)
Entity Type:Individual
Prefix:
First Name:MINZI
Middle Name:
Last Name:LI
Suffix:
Gender:F
Credentials:NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7234 BRADFORD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-1303
Mailing Address - Country:US
Mailing Address - Phone:267-575-0509
Mailing Address - Fax:
Practice Address - Street 1:7234 BRADFORD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-1303
Practice Address - Country:US
Practice Address - Phone:267-575-0509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor