Provider Demographics
NPI:1780994152
Name:LOFARO, ZIZI HAMED (LPC)
Entity type:Individual
Prefix:
First Name:ZIZI
Middle Name:HAMED
Last Name:LOFARO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:E
Other - Last Name:HAMED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:20 OAK GARDEN DR
Mailing Address - Street 2:
Mailing Address - City:BOONES MILL
Mailing Address - State:VA
Mailing Address - Zip Code:24065-4911
Mailing Address - Country:US
Mailing Address - Phone:540-526-6699
Mailing Address - Fax:
Practice Address - Street 1:2108 BROADWAY AVE SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24014-1707
Practice Address - Country:US
Practice Address - Phone:540-526-6699
Practice Address - Fax:540-777-0650
Is Sole Proprietor?:No
Enumeration Date:2010-10-19
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004923101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional