Provider Demographics
NPI:1265244313
Name:ZACCOUR, VIVIANE SAMI (CMHC)
Entity type:Individual
Prefix:
First Name:VIVIANE
Middle Name:SAMI
Last Name:ZACCOUR
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 W 42ND ST APT N53F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-1997
Mailing Address - Country:US
Mailing Address - Phone:332-248-7033
Mailing Address - Fax:
Practice Address - Street 1:50 FULTON ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-1800
Practice Address - Country:US
Practice Address - Phone:917-443-8334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP132999101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health