Provider Demographics
NPI:1336162460
Name:ZIMMERMAN, ABBY (MS, LMHC)
Entity Type:Individual
Prefix:MS
First Name:ABBY
Middle Name:
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15728 ITALIAN CYPRESS WAY
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-6515
Mailing Address - Country:US
Mailing Address - Phone:561-866-5018
Mailing Address - Fax:561-742-7957
Practice Address - Street 1:15728 ITALIAN CYPRESS WAY
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-6515
Practice Address - Country:US
Practice Address - Phone:561-866-5018
Practice Address - Fax:561-742-7957
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY588231H00000X
FLMH22969101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS1158OtherBLUE CROSS BLUE SHIELD
FLS1158ZMedicare ID - Type UnspecifiedMEDICARE