Provider Demographics
NPI:1356691661
Name:GLEASON, ZACHARY THOMAS (LMHC)
Entity type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:THOMAS
Last Name:GLEASON
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6150 METROWEST BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32835-3289
Mailing Address - Country:US
Mailing Address - Phone:407-730-3837
Mailing Address - Fax:407-730-3869
Practice Address - Street 1:6150 METROWEST BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-3289
Practice Address - Country:US
Practice Address - Phone:407-730-3837
Practice Address - Fax:407-730-3869
Is Sole Proprietor?:No
Enumeration Date:2012-09-13
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH-14342101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health