Provider Demographics
NPI:1134950728
Name:HYMAN, ZAHRA MICHELLE AMBER (LGPC)
Entity type:Individual
Prefix:
First Name:ZAHRA
Middle Name:MICHELLE AMBER
Last Name:HYMAN
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4869 SAINT BARNABAS RD APT T1
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-4676
Mailing Address - Country:US
Mailing Address - Phone:267-370-4283
Mailing Address - Fax:
Practice Address - Street 1:9750 APOLLO DR # B29
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-4924
Practice Address - Country:US
Practice Address - Phone:240-795-2883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP15265101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health