Provider Demographics
NPI:1184325417
Name:BETANCOURT, ZULEYKA YAMILEX (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ZULEYKA
Middle Name:YAMILEX
Last Name:BETANCOURT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 E DANIELLE AVE
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-0643
Mailing Address - Country:US
Mailing Address - Phone:956-784-5304
Mailing Address - Fax:
Practice Address - Street 1:1205 E DANIELLE AVE
Practice Address - Street 2:
Practice Address - City:PHARR
Practice Address - State:TX
Practice Address - Zip Code:78577-0643
Practice Address - Country:US
Practice Address - Phone:956-784-5304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX631011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical