Provider Demographics
NPI:1811301526
Name:ZADAKIS, ERICA ARLENE (LMFT)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:ARLENE
Last Name:ZADAKIS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ERICA
Other - Middle Name:ARLENE
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFTC 0013418
Mailing Address - Street 1:3101 N CENTRAL AVE STE 550
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2635
Mailing Address - Country:US
Mailing Address - Phone:602-473-2928
Mailing Address - Fax:602-682-7455
Practice Address - Street 1:3033 N CENTRAL AVE STE 700
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-2806
Practice Address - Country:US
Practice Address - Phone:602-230-7373
Practice Address - Fax:602-257-8029
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-20
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFTC 0013418101YM0800X
AZLMFT-15481106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health