Provider Demographics
NPI:1144933979
Name:RAZVI, SYEDA ZAINAB (LMHC)
Entity type:Individual
Prefix:
First Name:SYEDA ZAINAB
Middle Name:
Last Name:RAZVI
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 1:12085 NW 59TH ST
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-4002
Mailing Address - Country:US
Mailing Address - Phone:954-798-3128
Mailing Address - Fax:
Practice Address - Street 1:12085 NW 59TH ST
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33076-4002
Practice Address - Country:US
Practice Address - Phone:954-798-3128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-26
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH21717101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health