Provider Demographics
NPI:1538570908
Name:CORIA LOPEZ, ZUHEY (MSW)
Entity type:Individual
Prefix:
First Name:ZUHEY
Middle Name:
Last Name:CORIA LOPEZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4175 LAKESIDE DR STE 110
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94806-1950
Mailing Address - Country:US
Mailing Address - Phone:510-262-6551
Mailing Address - Fax:510-222-7085
Practice Address - Street 1:4175 LAKESIDE DR STE 110
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94806-1950
Practice Address - Country:US
Practice Address - Phone:510-262-6551
Practice Address - Fax:510-222-7085
Is Sole Proprietor?:No
Enumeration Date:2014-05-19
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YM0800X
101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA38241OtherHORIZONS UNLIMITED
CA101YM0800XOtherY TEAM MENTAL HEALTH PROGRAM & YMCA OF THE EAST BAY