Provider Demographics
NPI:1801132352
Name:ZAMORA, EVELYN (LMHC)
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:
Last Name:ZAMORA
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 1:2500 SW 5TH PL FL 33312
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33312-2279
Mailing Address - Country:US
Mailing Address - Phone:239-216-6661
Mailing Address - Fax:
Practice Address - Street 1:2500 SW 5TH PL FL 33312
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-2279
Practice Address - Country:US
Practice Address - Phone:239-216-6661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-02
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16251101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health