Provider Demographics
NPI:1003215286
Name:HACKETT, ZIFA
Entity type:Individual
Prefix:
First Name:ZIFA
Middle Name:
Last Name:HACKETT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 WILLBROOK BLVD STE S1015
Mailing Address - Street 2:
Mailing Address - City:PAWLEYS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29585-6541
Mailing Address - Country:US
Mailing Address - Phone:515-423-5585
Mailing Address - Fax:
Practice Address - Street 1:115 WILLBROOK BLVD STE S1015
Practice Address - Street 2:
Practice Address - City:PAWLEYS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29585-6541
Practice Address - Country:US
Practice Address - Phone:515-423-5585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-14
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8854101YM0800X
IA074108101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty