Provider Demographics
NPI:1669984514
Name:ZOULAS, TOULA (LMHC)
Entity type:Individual
Prefix:
First Name:TOULA
Middle Name:
Last Name:ZOULAS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4421 N FEDERAL HWY APT 213
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-6695
Mailing Address - Country:US
Mailing Address - Phone:954-591-5385
Mailing Address - Fax:
Practice Address - Street 1:4421 N FEDERAL HWY APT 213
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-6695
Practice Address - Country:US
Practice Address - Phone:954-591-5385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-01
Last Update Date:2022-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH20508101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH20508Medicaid
FLMH20508OtherINSURANCE