Provider Demographics
NPI:1336902972
Name:RICO, ZAIRA SARAI (LMFT)
Entity Type:Individual
Prefix:
First Name:ZAIRA
Middle Name:SARAI
Last Name:RICO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2003 8TH AVE # 1006
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76110-1810
Mailing Address - Country:US
Mailing Address - Phone:832-303-7188
Mailing Address - Fax:
Practice Address - Street 1:905 MISTY OAK TRL
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-9418
Practice Address - Country:US
Practice Address - Phone:832-277-0982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-06
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203356106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist