Provider Demographics
NPI:1881390193
Name:ZOHOURY, JAMES JAY
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:JAY
Last Name:ZOHOURY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3707 WARDS POINT DR
Mailing Address - Street 2:
Mailing Address - City:ORCHARD LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48324-1662
Mailing Address - Country:US
Mailing Address - Phone:248-709-3435
Mailing Address - Fax:
Practice Address - Street 1:2655 E OAKLEY PARK RD STE 102
Practice Address - Street 2:
Practice Address - City:COMMERCE TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48390-1645
Practice Address - Country:US
Practice Address - Phone:248-709-3435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451022759101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health